In what has become a frequent event, the Inspector General at the Department of Health and Human Services has just issued yet another report that crows about heroic fraud-fighting efforts.
Four SNFs, physical therapy center to pay $9.7 million in ‘upcoding’ case
By
Elizabeth Newman
Jun 12, 2019
Four skilled nursing facilities and a physical therapy center in the Chicago area have agreed to pay $9.7 million to resolve upcoding claims.
David fights on after long-term care Goliath decides to bow out
By
James M. Berklan
Aug 29, 2012
The headlines were big. Really big. And they involved a long-term care corporate giant settling yet another lawsuit. But they didn’t tell the story I really wanted to know about. And that you probably...
Judge orders DOJ to pay legal fees for HCR ManorCare in rehab claims case
By
Nov 06, 2017
The Department of Justice will have to pay HCR ManorCare legal fees after a judge slammed its handling of a whistleblower case against the provider.
Private equity in the crosshairs: Administration continues to question role of private equity in LTC
By
Tom Barnard
Alison Schurick
Kathleen R. Salsbury
Sabrina Marquez
Mar 13, 2023
Over the past year, the Biden administration has expressed serious doubts about the developing role of private equity investment in the long-term care industry. In a Fact Sheet released in late February...
Salus decision offers a golden ticket to some long-term care facilities
By
Nancy Reynolds, Esq.
Mar 14, 2018
With many whistleblower cases ending in multimillion-dollar settlements, providers could easily conclude that the deck was unfairly stacked against them in 2017. But the tide might have turned.
AARP litigators blame nursing home HQs for staffing problems, publicize legal strategies against them
By
James M. Berklan
Oct 18, 2023
Nursing homes could find themselves open to civil rights and consumer protection lawsuits if the AARP Foundation Litigation unit is successful in three cases it is currently pursuing against operators.
Providers facing heightened kickback scrutiny
By
Matt Curley
John Eason
Jun 05, 2019
Long-term care providers have often been the target of enforcement efforts focused on alleged violations of the Anti-Kickbacks Statute.
Power to the people? That could mean trouble
By
James M. Berklan
Apr 01, 2013
There are plenty of legal concerns that keep nursing home administrators awake at night. Many times, the demons can be kept under the bed or locked in the closet. But not always.
Why nursing homes won’t be catching many breaks this year
By
John O'Connor
Feb 03, 2014
When you talk to experts in this field about the year ahead, an unsettling pattern soon emerges. Almost everyone seems fairly confident that regulators will be taking a much closer look at operators.