What happens when delegation without accountability takes place? We saw a good example last week, when the Office of Inspector General released a damning report about excessive Medicare charges from nursing...
Also in the News for Friday, Feb. 22
By
Marty Stempniak
Feb 22, 2019
CMS issues newly updated SNF Quality Measure Manual … Paul Ryan talks healthcare at NIC in first post-Congress speech … Doctor to pay $680,000 after overbilling state Medicaid program for nursing home...
Federal judge OKs statistical sampling of nursing home claims to support fraud charges
By
Tim Mullaney
Oct 06, 2014
The government can use a statistical sample of a nursing home company’s Medicare claims to help prove overbilling charges, a federal judge recently decided in an unprecedented ruling.
‘Moment of decision’ appears near on nursing home staffing rule
By
Kimberly Marselas
Jun 06, 2024
A two-day spate of legislative action opposing the nursing home staffing mandate has some staunch supporters of the requirements feeling “very concerned” about the rule’s future.
Kindred, RehabCare settle False Claims allegations for $125 million
By
Jan 13, 2016
Kindred Healthcare Inc. and its subsidiary RehabCare Group Inc. have agreed to pay $125 million to settle a whistleblower lawsuit on Medicare therapy claim overbilling.
Holding the regulators in check
By
John O'Connor
May 27, 2024
By now you have probably heard the American Health Care Association plans to take industry regulators to court.
Political pressure impedes some nursing home overbilling investigations, WSJ claims
By
Tim Mullaney
Dec 15, 2014
Pressure from politicians sometimes undermines efforts to stop overbilling by keeping Medicare and Medicaid payments flowing to nursing homes under investigation, The Wall Street Journal claimed in an...
For-profit nursing homes more likely than nonprofits to bill for higher-paying RUG levels, report finds
Dec 24, 2010
For-profit nursing homes may be overbilling Medicare for the costliest services, a report released Thursday by the Office of Inspector General suggests.
Nursing home optometrist gets 33-month sentence for overbilling
By
Tim Mullaney
Jan 13, 2014
An optometrist who served Georgia nursing homes faces a 33-month prison sentence for defrauding Medicare.
PA nursing home settles overbilling lawsuit for $819,000
By
John Hall
Aug 03, 2022
A Pennsylvania nonprofit nursing home in the process of being sold has agreed to settle a whistleblower lawsuit alleging it overbilled the government $819,000 for physical therapy services.