Operator to pay $16.7M for therapy upcoding violations
By
Liza Berger
Sep 01, 2020
A California-based skilled nursing operator, along with 27 affiliated facilities, have agreed to pay $16.7 million in a settlement related to therapy upcoding allegations.
Providers would be overburdened by Medicare overpayment rule, expert notes
By
McKnight's Staff
Apr 06, 2012
A proposed rule that would require Medicare providers to return overpayments within 60 days of detection could significantly increase administrative time and costs, an expert says.
Long-term healthcare compliance officer: A complex job with high stakes
By
David Barmak, J.D.
Jun 16, 2020
A Jan. 15, 2014, article published in the Wall Street Journal titled “Compliance Officer: Dream Career?” identified being a compliance officer as “one of the hottest jobs in America.” While an...
Vitas agrees to record-setting settlement
By
Amy Novotney
Dec 06, 2017
The nation’s largest for-profit hospice provider and its parent company will pay $75 million to settle allegations that it submitted false Medicare claims for hospice services, according to federal...
Lawsuit claims HCP, ManorCare misled investors
By
May 24, 2016
HCP ignored billing fraud and misled investors about the performance of ManorCare, its skilled nursing portfolio, according to a class action lawsuit filed against the real estate giant earlier this month.
Assisted living manager pleads guilty to a Medicare fraud and kickback scheme
Nov 18, 2011
In the latest fallout from a massive Medicare fraud kickback scheme in Florida, an assisted living manager has admitted he referred residents in exchange for money.
6 firms pay $6M in whistleblower case
By
Amy Novotney
May 08, 2018
Six Maryland companies – four skilled nursing facilities and two financial consultants – have reached an agreement over a fraudulent billing claim from the U.S. Department of Justice, with the overall...
Court shuts down whistleblower suit against Tutera, Medline
By
Jan 07, 2016
A whistleblower lawsuit against a nursing home provider and medical equipment company Medline Industries Inc. can’t continue because it’s too similar to a prior suit settled by Medline, a federal...
Doctors convicted in $8.8 million Medicare hospice fraud
By
May 09, 2016
Two California doctors were convicted Thursday of lying about patients’ terminally ill status in order to refer them to a hospice facility and submit roughly $8.8 million in fraudulent Medicare and...
Former nursing home CEO gets 2.5 years, must pay $11 million restitution for neglecting payroll taxes
By
Josh Henreckson
Apr 09, 2024
The former CEO of a healthcare administrative services company was sentenced Friday to 30 months in prison followed by two years of supervised release for failing to pay more than $10 million in payroll...