Provider loses appeal in $4 million overpayment case involving statistical sampling
By
Nov 08, 2017
An Oklahoma-based home healthcare provider will have to return millions in overpayments to Medicare after a judge upheld the use of the controversial statistical sampling method in the case against it.
Largest US hospital chain to pay $98 million in observation stay case
By
Tim Mullaney
Aug 06, 2014
The nation’s largest hospital organization has agreed to a $98 million settlement to resolve charges that it overbilled by admitting individuals as inpatients rather than keeping them under observation,...
Life in prison for fraudulent company exec
By
Elizabeth Newman
Nov 01, 2011
A federal judge has imposed a 50-year prison sentence on a Florida executive found guilty of creating a $205 million Medicare fraud scheme that targeted patients with dementia.
Omnicare to pay $98 million settlement in kickback scheme; separate complaint filed against Mariner,...
Nov 05, 2009
Long-term care pharmacy giant Omnicare has agreed to pay a $98 million settlement in connection with allegations it engaged in an illegal kickback scheme with drug maker Ivax, the U.S. Department of Justice...
Doctor gets prison, ordered to pay $316K after lying about time spent with nursing home residents
By
Danielle Brown
Jan 20, 2020
An Iowa doctor will have to shell out more than $315,000 after pleading guilty to lying about the amount of time he spent with nursing home residents to gain higher reimbursements.
PharMerica settles whistleblower complaint for $31.5 million
By
John Hall
May 19, 2015
National pharmacy services provider PharMerica said it has entered into separate agreements with the government and revised its controlled substances dispensing policies following a whistleblower lawsuit...
SNFs, therapists to pay $9.7 million due to billing dispute
By
Amy Novotney
Jul 17, 2019
Four skilled nursing facilities and a physical therapy center in the Chicago area have agreed to pay $9.7 million to resolve allegations of False Claims Act violations. Quality Therapy & Consultation worked...
Joint HHS, Justice efforts recoup $28 billion in Medicare payments
By
John Hall
Mar 19, 2015
The Justice Department announced on Thursday it had captured $3.3 billion from healthcare fraud prosecutions and other deals in 2014, bringing to nearly $28 billion the total amount it has recouped since...
HCP to spin off troubled HCR ManorCare
By
May 10, 2016
HCP Inc. will spin off HCR ManorCare, its skilled nursing and assisted living portfolio, into an independent real estate investment trust, the company announced Monday.
Mississippi nursing home first wins whistleblower case, and now attorney fees in sharp rebuke
By
Jessica R. Towhey
Apr 03, 2023
A lawyer who acknowledged to the court that he did not check a public database to determine the status of a nursing director’s license must pay attorneys’ fees after losing a whistleblower case, a...