Pharmacist sentenced to probation in nursing home drug reuse scheme
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Oct 19, 2017
A former employee of a Pennsylvania pharmacy was sentenced to probation and community service on Tuesday for her role in a scheme to repackage drugs that went unused by area nursing homes.
DOJ’s review of fraud prosecution process may have healthcare implications
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Oct 18, 2017
Healthcare fraud policies may undergo changes following a recently announced review of prosecution methods by the Department of Justice, according to some observers.
SNF biller charged in $600,000 Medicaid fraud scheme after facility alerts authorities
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Oct 12, 2017
A former biller for a Michigan nursing home has been charged with multiple fraud-related charges after authorities say she pocketed residents’ cash payments to the facility.
OIG wants $30M refund from rehab in NJ
By
Amy Novotney
Oct 06, 2017
Fox Rehabilitation received at least $29.9 million in Medicare Part B payments for services that did not meet Medicare requirements, according to an August report by the Office of the Inspector General...
CEO in nursing home podiatry scheme given 1 year in prison
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Sep 25, 2017
The former CEO of a healthcare company caught billing Medicare for unnecessary podiatry services for nursing home residents was sentenced last week to serve a year in prison and pay $1.8 million in restitution.
It’s time for ‘the talk’ about healthcare fraud
By
John O'Connor
Aug 01, 2016
Some necessary conversations tend to be awkward and uncomfortable. They include talking to our children about baby making. Or convincing our parents to give up the car keys. Or talking to government investigators...
SNF owner led record $1 billion Medicare fraud ring, authorities say
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James M. Berklan
Jul 25, 2016
The owner of more than 30 Miami-area nursing homes and assisted living facilities has been charged with leading a national record $1 billion-plus Medicare fraud scheme.
Tales you might never expect from the frontlines of fraud
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Apr 26, 2016
The healthcare world currently ranks as the fourth most victimized industry when it comes to fraud, falling prey to roughly 6.6% of all fraud incidents. In the long-term care sector, experts recently shared,...
Husband and wife plead guilty to stealing $1.2 from assisted living company
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Jun 10, 2015
The Kansas woman who authorities say worked with her husband to steal more than $1.2 million from an assisted living company has pleaded guilty to one federal count of mail fraud.
Avoiding fraud claims
By
Bruce Baron
Apr 17, 2015
With Medicare and Medicaid costs soaring, federal and state agencies are looking at various avenues to rein in costs. Fraudulent billings from healthcare providers costs taxpayers millions of dollars each...