Provider sues agency for routine overbilling, unscrupulous practices that led to $5M bill
By
Kimberly Marselas
Mar 21, 2024
A multi-facility skilled nursing operator has filed a lawsuit against the staffing platform Nursa, alleging the app-based agency routinely overbilled for staff that failed to show up for shifts and refused...
Eye doctor to pay $1 million to settle allegations of overbilling in SNFs
By
Sep 02, 2016
A Florida ophthalmologist has agreed to pay $1 million to settle claims that she overbilled Medicare for eye care services provided in skilled nursing and assisted living facilities, officials announced...
Industry view differs on rehab ‘overbilling’
By
Liza Berger
May 01, 2010
A news report about therapy overbilling has provoked outrage on the part of nursing home operators.
Improper payment rate for SNFs jumps to 11%
By
Nov 25, 2015
The improper payment rate for skilled nursing facilities increased to 11.04% in 2015 largely due to insufficient documentation, a new report has shown.
Judge denies motion to dismiss HCR ManorCare false claims suit
By
Sep 29, 2015
A government complaint alleging HCR ManorCare overbilled Medicare for rehabilitation services is a viable cause of action under the False Claims Act, a judge has ruled.
Adventist to pay $118 million to settle false claims suit
By
Sep 23, 2015
Adventist Health System has agreed to pay $118.7 million to settle a whistleblower lawsuit that alleges the Florida-based company paid kickbacks to doctors in exchange for referrals.
Hospitalist firm charged
By
John O'Connor
Aug 01, 2014
A hospitalist company that works with thousands of facilities is facing federal charges that its clinicians routinely overbilled Medicare and Medicaid, authorities recently announced.
Hospice provider will pay $10.1M for overcharging Medicare, Medicaid and Tricare
By
Jun 22, 2015
A Florida-based non-profit hospice provider will pay more than $10.1 million for allegedly overbilling Medicare, Medicaid and Tricare, according to the terms of a settlement reached with federal authorities.
Overdocumentation and cloning in electronic health records are overlooked risks, investigators say
By
Tim Mullaney
Jan 09, 2014
Auditors reviewing Medicare and Medicaid claims from electronic health records are largely treating them in the same manner as paper claims, even though they pose unique risks for overbilling and fraud,...
Politicians pressure auditors to back down, paper claims
By
John Andrews
Feb 01, 2015
The prospects of politician intervention with Medicare audits has sparked some debate over whether elected officials are exerting undue influence, or simply defending providers’ rights against government...