Kickback allegations against North American Health Care CEO ‘plausibly supported,’ court...
By
Nov 17, 2015
A lawsuit alleging that the CEO of North American Health Care Inc. personally oversaw a kickback scheme will continue, despite his motion to have the case dismissed, a federal court ruled last week.
LTC pharmacy AlixaRx settles whistleblower case for $2.75M
By
Danielle Brown
May 13, 2021
Texas-based long-term care pharmacy provider AlixaRx will pay $2.75 million to settle allegations that it wrongly dispensed controlled substances without valid prescriptions at long-term care facilities.
Ask the payment expert … about overpayments
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Apr 10, 2023
Are the timeframes for investigating and repaying Medicare overpayments changing?
CMS extends overpayment payback window to one year
By
James M. Berklan
Jul 05, 2012
Federal regulators have relented and given state Medicaid programs a full year to collect and return overpayments made to providers.
Operator accused of inflating SNF stays to increase reimbursement for nearly a decade
By
Danielle Brown
Jun 04, 2021
A New York-based operator and 11 of its skilled nursing facilities are facing a federal healthcare fraud lawsuit after being accused of unnecessarily inflating patient stays and billing Medicare for excessive...
Golden Living reaches $600,000 settlement in federal wound care case
By
Elizabeth Newman
Jan 03, 2013
Golden Living announced Wednesday it has reached a settlement deal totaling more than $613,000 with the Office of the Inspector General of the Department of Health and Human Services, the Department of...
After snapping up Omnicare, CVS enters as major player
By
Elizabeth Newman
Jul 06, 2015
Retail behemoth CVS announced in May it will acquire Omnicare, the long-term care industry’s largest institutional pharmacy company, for $10.4 billion.
OIG: Healthcare fraud, abuse recoveries up $1 billion in 2016
By
Jun 02, 2016
The Department of Health and Human Services increased its recoveries in fraudulent payments and settlements by more than a billion dollars in the first half of fiscal year 2016, according to a report released...
Feds recover $10 million in incorrect Medicaid payouts
By
James M. Berklan
Apr 01, 2014
Federal investigators recovered more than $10 million in incorrect Medicaid payments made to nursing homes in 2013, an annual review shows.
Nursing home nurse misidentified as Powerball winner
By
Elizabeth Newman
Jan 15, 2016
It sounded as if a long-term care fairy tale had come to life: A senior registered nurse at a California nursing home wins part of the biggest lottery jackpot in history — and she does it through the...