DOJ settles separate therapy billing disputes with Diversicare and Guardian Elder Care for nearly $25M
By
Danielle Brown
Feb 20, 2020
A dispute over therapy billing practices by Diversicare Healthcare Services has been resolved after the company announced on Wednesday its settlement agreement with the Department of Justice has been finalized.
OIG: Improper payment gains up $2.3 billion for FY 2016
By
Emily Mongan
Dec 02, 2016
Federal health officials recovered more than $5.66 billion in improper or fraudulent payments in fiscal year 2016, according to a report published Thursday. The recovery cases included a nursing home cited...
Doctor accused of vastly overprescribing antipsychotic to nursing home residents loses license
By
Tim Mullaney
Aug 12, 2014
A Chicago psychiatrist has been stripped of his medical license over charges that he received kickbacks and overprescribed antipsychotic drug clozapine to nursing home residents.
Second chance for losing whistleblower
By
Marty Stempniak
Mar 07, 2019
A Tennessee provider must still face claims that it retaliated against a whistleblower, despite a judge throwing out the original claims.
Medicaid fraud units recovered $10 million from nursing homes in 2013, annual report shows
By
Tim Mullaney
Mar 11, 2014
Medicaid Fraud Control Units recovered about $10.3 million from nursing facilities in fiscal year 2013, according to an annual report issued Friday. Civil fraud settlements and judgments accounted for...
Complaint by whistleblowers will cost hospice $4 million
By
James M. Berklan
Mar 05, 2015
A hospice company that hired medical directors with close ties to nursing homes to better pursue allegedly fraudulent practices has agreed to a $4 million settlement with the U.S. Justice Department.
Judge provides warning to would-be whistleblowers in SNF therapy upcoding cases
By
Marty Stempniak
Jul 19, 2018
One Illinois judge has served up a warning to future whistleblowers who might bring claims against skilled nursing facilities.
OIG recovers $1.8B from providers
By
Holly Petrovich
Jun 04, 2015
The federal government recovered $1.8 billion from healthcare providers and programs in the first six months of fiscal 2015, a federal watchdog has revealed.
OIG touts nursing home crackdowns to Congress
By
Dec 01, 2017
A federal agency’s “early alert” on cases of potential abuse in nursing homes was spotlighted in its semiannual report to Congress on Thursday. The alert came from the Department of Health...
SNF operator, exec, to pay $2.5 million in false therapy claims case
By
Oct 17, 2016
A Massachusetts-based skilled nursing operator and its director of long-term care have agreed to pay $2.5 million to resolve allegations that the company submitted inflated Medicare claims for therapy...