Legal expert warns providers at increased risk for COVID lawsuits
By
Danielle Brown
Sep 04, 2020
Providers could see a wave of coronavirus-related lawsuits in the near future as cases rise, which is why a legal expert is stressing the importance of documentation and training to prevent operators from...
Facilities must post whistleblower protections, CMS says
By
Haymarket Media
Jan 03, 2007
Many nursing homes and other healthcare providers must inform staff about whistleblower protections starting this week.
California’s 2nd largest SNF operator pays $450,000 to settle whistleblower claims
By
Emma Baumgartel
Jun 30, 2021
Plum Healthcare Group will pay $451,439 to settle a whistleblower lawsuit claiming false Medicare billing at its skilled nursing facility in San Marcos, CA, the Department of Justice announced Tuesday.
Feds withdraw Life Care Centers CEO Preston from False Claims suit
By
Nov 13, 2015
Federal prosecutors have dropped their motion to include Life Care Centers CEO Forrest Preston from a False Claims Act lawsuit filed against the company. But legal threats to Preston still remain.
Group wants feds to probe Medicare Advantage plans wrongly denying care
By
Danielle Brown
May 25, 2022
An influential group of healthcare providers is calling on the Department of Justice to investigate Medicare Advantage organizations that have been found wrongly denying services to beneficiaries.
Court dismisses $13 million false claims suit over SNF reimbursements
By
Apr 10, 2017
A New York health system is off the hook for $13 million in Medicaid overpayments incurred by one of its nursing homes, according to a court’s recent ruling.
The best defense is a good offense when mitigating False Claims Act liability
By
Jason Edgecombe and Ted Lotchin
Nov 13, 2015
Our previous articles have reviewed the liability traps that the False Claims Act creates for long-term care providers. These traps have resulted in damages and penalties for healthcare providers to the...
North American Health Care to pay $28.5 million in false claims settlement
By
Sep 20, 2016
North American Health Care Inc. has agreed to pay $28.5 million to settle allegations that it submitted claims for medically unnecessary rehabilitation services, the Department of Justice announced Monday.
Encompass disputes allegations of rehab for patients who were ‘too sick,’ pays $48M in ‘whistleblower’...
By
Kimberly Marselas
Jun 30, 2019
Inpatient rehab operator Encompass Health Corporation allegedly admitted patients who were ineligible because they were too sick or disabled to participate in intensive therapy, according to a settlement...
Psychiatry company settles Medicare fraud allegations for $1 million
By
Elizabeth Newman
Jul 22, 2013
A New York company that provided psychiatry services to nursing home residents with dementia has settled a whistleblower Medicare fraud case for $1 million.