‘Secret’ report alleges massive ASC fraud had 20 more co-conspirators, $20 million more in losses
By
James M. Berklan
Aug 10, 2020
One of the largest nursing home-related fraud stories of the last decade, involved the top executive of Indiana’s largest publicly owned SNF company, American Senior Communities, and four others being...
Overflow crowd sees former American Senior Communities CEO get 9½ years for $19 million fraud, kickback...
By
James M. Berklan
Jul 02, 2018
A U.S. District Court judge leaned closer to prosecuting attorneys’ recommendations than defense attorneys’ on Friday and sentenced former nursing home executive James Burkhart to 9½-years...
CMS should intensify Medicaid eligibility checks at certain facilities, government asserts
By
Elizabeth Newman
Jun 28, 2018
The Centers for Medicare & Medicaid Services should prioritize fingerprint-based criminal background checks and conduct site visits to high-risk providers to mitigate Medicaid fraud, a government watchdog...
Hospice provider settles massive case for $2.5 million, claiming documentation errors
By
Kimberly Marselas
May 23, 2018
Once accused of defrauding Medicare of $14 million in false claims in a single year, a Florida hospice provider has agreed to pay $2.5 million to resolve the allegations.
Also in the News for Monday, April 23
Apr 23, 2018
Nurse accused of covering up patient’s fatal fall fails to surrender license, may still be practicing … Miami man gets 97 months in $10 million home health fraud case … Strong winds partially...
Lawmakers target SNFs’ big payer for fraud, waste cuts
By
Kimberly Marselas
Apr 08, 2018
A pair of Congressional subcommittees focused on oversight have banded together to examine ways to reduce Medicaid fraud and waste.
Lawsuit claims nursing home managers scammed resident, sold her house, gave her only $2k for it
By
Kimberly Marselas
Apr 02, 2018
An Illinois woman is suing a nursing home and two former employees for allegedly selling her house against her wishes — then paying her only $2,000 for it.
OIG: Medicare needs to do more to prevent fraud and waste related to chiropractic care
By
Kimberly Marselas
Feb 20, 2018
Previous controls have not done enough to reduce fraud and waste in connection to chiropractic care for Medicare patients, according to a review issued by a federal watchdog Friday.
Veterans Affairs plans to borrow from the CMS fraud-prevention playbook
By
Kimberly Marselas
Jan 24, 2018
The Centers for Medicare & Medicaid Services will share its best fraud prevention tactics used against nursing homes and other providers with the U.S. Department of Veterans Affairs, the agencies said...
Hospice director, also the town mayor, charged in $150M federal fraud case
By
Kimberly Marselas
Jan 12, 2018
A Texas mayor and three others were indicted Wednesday for their alleged roles in a $150 million healthcare fraud and money laundering scheme, prosecutors said.