AHA: Proposal to ease Medicare appeals backlog a move in the ‘wrong direction’
By
Aug 31, 2016
A recent federal proposal aimed at eliminating the backlog of Medicare appeals by 2021 would do little more than “scratch the surface of the problem,” according to the American Hospital Association.
CNAs sue nursing home claiming retaliation, defamation in resident restraint case
By
Feb 08, 2017
Three former employees of a Virginia skilled nursing facility have sued the provider and its parent company, claiming they were fired after they raised concerns about residents being tied to wheelchairs...
Pressure sore leads to false-advertising suit
By
James M. Berklan
Jun 01, 2014
A resident who developed a serious pressure ulcer allegedly due to negligence at a Pennsylvania continuing care retirement community is suing the operator, claiming it purposely misrepresented its care...
Court dismisses AG’s suit against Golden
By
May 06, 2017
A Pennsylvania court in March dismissed a lawsuit filed against 25 Golden LivingCenters by the former state attorney general.
IL whistleblower suit draws $28M fines
By
James M. Berklan
Mar 02, 2013
Two former nurses’ complaints about alleged substandard care and inappropriate billing resulted in $28.1 million in penalties being levied against the former owner of an Illinois nursing home. A...
Mother-son duo convicted in $25 million SNF psychology scheme
By
Jan 27, 2017
The owners of companies that provided psychological services to nursing home residents were convicted on Wednesday for their role in a scheme that authorities say bilked millions of dollars from the Medicare...
Threat of lawsuits does not incentivize improved care, study says
Apr 01, 2011
Nursing homes with high quality ratings are sued almost as often as lower performing nursing homes, according to a new study published by the New England Journal of Medicine.
Nursing home denies hair styling contributed to resident’s death
By
Feb 10, 2017
A New Hampshire skilled nursing facility refutes claims that a resident died due to complications from a perm at the facility’s salon, according to new legal documents.
CMS delays implementation of stricter claims transmission standards
By
McKnight's Staff
Mar 16, 2012
The Centers for Medicare & Medicaid Services announced Thursday it is again pushing back the deadline for compliance with a set of claims transmission standards.
Humana seeks dismissal of lawsuit alleging AI use to determine LTC denials
By
Kimberly Marselas
Mar 25, 2024
Humana has asked a federal court to dismiss a class action lawsuit alleging the Medicare Advantage insurer made coverage determinations using artificial intelligence over medical review.