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The owner of an Illinois hospice company was sentenced to six and a half years in federal prison on Tuesday for his role in a Medicare fraud scheme that paid kickbacks to nursing homes.

Concerns over skilled nursing facility residents receiving the highest levels of therapy in huge amounts have driven the Centers for Medicare & Medicaid Services to turn the issue over to recovery audit...

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.

The Department of Justice on Wednesday filed a motion to drop a False Claims Act lawsuit it had joined against HCR ManorCare in 2015.

Here’s the good news for providers: new analytics are making it possible to understand and bill your care in ways that would have been impossible just a few years ago. Here’s the bad news:...

The owner and manager of six Connecticut nursing homes must pay up to 700 former employees replaced during a 2012 strike for up to 12 years of back pay, a federal judge ruled this week.

I can only imagine what it’s like to have your every move and outcome scrutinized. And then have a “report card” issued, one that is published where literally the whole world can see...

Hundreds of providers are making one last attempt to increase pay rates and limit potential financial penalties of the proposed nursing home pay rule from the Centers for Medicare & Medicaid Services’...

Therapy reimbursement has to be one of the more complicated subjects in long-term care. I have a hard time understanding all the ins and outs of it myself.

If gung-ho prosecutors get a little more screen time around here while some of our usual sources close up shop for a couple weeks, don’t rush past. There are plenty of lessons to be learned.