Federal health officials have given a green light to a hospice provider’s proposal to make supplemental payments to skilled nursing facilities for dual eligible patients.
Michigan home healthcare owners convicted in $33M Medicare fraud
By
Holly Petrovich
Jul 29, 2015
Two Michigan home healthcare agency owners were convicted of various offenses for their participation in a $33 million Medicare fraud scheme, government officials announced.
GAO report calls for more consistency investigating Medicare post-payment claims
By
Elizabeth Newman
Aug 26, 2013
Government investigators claim — and the Centers for Medicare & Medicaid Services concurs — that more consistency is needed with Medicare post-payment claims reviews.
Most hospice services in nursing homes fail to meet Medicare requirements, OIG finds
Sep 11, 2009
A growing number of Medicare beneficiaries are receiving hospice care in nursing facilities. But most of these services do not meet Medicare requirements. That is according to two reports from the Office...
New OIG Medicaid fraud data, map shows nearly $1.9 billion in recoveries
By
Mar 07, 2017
Medicaid Fraud Control Units delivered nearly $1.9 billion in recoveries in fiscal year 2016, according to a new data set and interactive map released Monday by federal officials.
Signature’s Mather appointed to role overseeing nursing homes
By
Kimberly Marselas
Jan 28, 2020
Newly inaugurated Kentucky Gov. Andy Beshear (D) has picked Signature HealthCare executive Adam Mather to be his inspector general for the state’s Health and Family Services Cabinet. Mather was Louisville-based...
Medicaid ‘loopholes’ need fixing, lawmakers say
By
Sep 15, 2015
Legislation is needed to fix the “loopholes” in the Medicaid program that make it vulnerable to fraud and abuse, lawmakers maintain.
Memphis rehabilitation center to pay $500K for providing ‘worthless’ services
By
Kimberly Marselas
Feb 06, 2018
Spring Gate Rehabilitation and Healthcare Center in Memphis will pay $500,000 to federal authorities and Tennessee to resolve false claims allegations.
Long-term healthcare compliance officer: A complex job with high stakes
By
David Barmak, J.D.
Jun 16, 2020
A Jan. 15, 2014, article published in the Wall Street Journal titled “Compliance Officer: Dream Career?” identified being a compliance officer as “one of the hottest jobs in America.” While an...
SNF Medicare Part A appeals increase, success rate holds steady: OIG report
By
Tim Mullaney
Oct 07, 2013
Skilled nursing facilities have been filing more appeals related to Medicare Part A claim determinations since 2008, and the proportion of successful appeals has remained largely steady, according to a...