American Senior Communities to pay $5.6 million in therapy billing False Claims suit
By
John Hall
Aug 12, 2022
A large Indiana nursing home provider agreed to settle a lawsuit alleging it defrauded the Medicare program by improperly billing for already-covered services for hospice patients.
Kindred wins whistleblower case: Docs not proven wrong
By
Aug 06, 2016
A Kindred Healthcare subsidiary claimed victory in June in a False Claims Act case brought by a former employee.
What to do about our unqualified MDS coordinator?
By
John Durso
Sep 01, 2012
We hired an unqualified MDS coordinator who filed many claims for us at too high of a reimbursement rate and now we’re being pursued under False Claims Act charges. How do we get out of this mess?
What to do about our unqualified MDS coordinator?
By
John Durso
Sep 01, 2012
We hired an unqualified MDS coordinator who filed many claims for us at too high of a reimbursement rate and now we’re being pursued under False Claims Act charges. How do we get out of this mess?
NJ firm encouraged nursing home staff to make bogus hospice referrals: lawsuit
By
Kimberly Marselas
Jan 05, 2023
A New Jersey company pressured nursing home staff to refer ineligible patients to hospice care, exaggerating their conditions and defrauding the government in the process, a federal whistleblower lawsuit...
‘Extrapolation’ demonstrates False Claims Act liability in rehab
By
Jason Edgecombe and Ted Lotchin
Aug 11, 2015
Recent FCA complaints have relied on a number of arguments to substantiate the submission of false claims for Medicare reimbursement: systematic upcoding to higher RUG levels due to corporate “pressure”...
Hospice pays $6.5 million fine to settle fraud case
By
John Hall
Feb 20, 2015
A New York hospice provider Wednesday agreed to pay approximately $6.5 million in fines to settle alleged false Medicare and Medicaid claims over a 16-month period.
Prosecuting substandard care with the False Claims Act
By
Mark S. Armstrong
Oct 14, 2009
Increasingly, states are using the False Claims Act to target cases of inadequate care at nursing homes.
High Court hands government a ‘clear win’ on False Claims: expert
By
Kathleen Steele Gaivin
Jun 02, 2023
In a pair of consolidated cases, the Supreme Court unanimously ruled Thursday that liability in False Claims Act suits depends on whether the defendants believed that their claims were false, not on whether...
Omnicare off the hook in drug packaging case after Supreme Court passes
By
Tim Mullaney
Oct 09, 2014
Long-term care pharmacy Omnicare will not face False Claims Act penalties for drug packaging practices that apparently ran afoul of safety regulations. The U.S. Supreme Court has declined to take up the...