$3.8 million settlement shows nursing homes must oversee their therapy providers, feds say
By
Tim Mullaney
Sep 08, 2014
Two long-term care companies have agreed to a $3.75 million settlement over charges that they failed to sufficiently control an outside therapy provider’s billing and care practices, the Department...
OIG fraud report portends more challenges for skilled nursing
By
Kimberly Marselas
Mar 17, 2023
An annual report outlining state fraud control activities in the nation’s Medicaid facilities portends a challenging year ahead for nursing homes.
Catholic Health System to pay $6 million to settle false rehab claims allegations
By
Oct 31, 2017
A New York-based healthcare system has agreed to pay $6 million to settle allegations that it submitted false Medicare and Medicaid claims for skilled nursing services, authorities announced on Friday.
Hospice provider will pay $10.1M for overcharging Medicare, Medicaid and Tricare
By
Jun 22, 2015
A Florida-based non-profit hospice provider will pay more than $10.1 million for allegedly overbilling Medicare, Medicaid and Tricare, according to the terms of a settlement reached with federal authorities.
Ask the legal expert: How can I tell if my boss is embezzling?
By
John Durso
May 02, 2011
John Durso, Esq., Ungaretti & Harris LLP
DOJ’s drive for more criminal charges in nursing home cases draws provider resistance
By
Danielle Brown
Sep 30, 2019
Providers are pushing back against an effort by the Department of Justice that would allow criminal charges to be brought against nursing home providers and staff members accused of abuse and fraud in...
Court rejects whistleblower’s kickback claims against PharMerica
By
Emily Mongan
Nov 30, 2016
A whistleblower’s allegations that PharMerica, the nation’s second largest long-term care pharmacy, made kickbacks to skilled nursing facilities were shot down by a federal court on Monday.
Fugitive accused of $10.7M in nursing home fraud caught by feds
By
Marty Stempniak
Sep 24, 2018
One of the country’s most-wanted healthcare fraud fugitives, who allegedly fleeced nursing homes and the federal government for more than $10 million, was caught last week.
In limbo with underwhelming pay proposal
By
James M. Berklan
Apr 18, 2012
First, it was the U.S. Supreme Court’s turn to leave providers in suspense. Now, it’s a group of decision-makers without robes who have operators holding their breath.
Medicare overpayment rule might take effect in February
By
John Hall
Dec 04, 2015
Barring objections from the Office of Management and Budget, the Centers for Medicare & Medicaid Services will implement a new rule early next year aimed at retrieving hundreds of millions of dollars of...