Psychiatry company settles Medicare fraud allegations for $1 million
By
Elizabeth Newman
Jul 22, 2013
A New York company that provided psychiatry services to nursing home residents with dementia has settled a whistleblower Medicare fraud case for $1 million.
Nursing home operator to repay $1 million in Medicaid fraud case
By
Tim Mullaney
Jul 19, 2013
A South Carolina man will pay $1 million in restitution for his role in a nursing home Medicaid fraud scheme, the state’s attorney general announced Thursday.
Lawmakers call for public disclosure of Medicare payments, ask for input on post-acute reforms
By
McKnight's Staff
Jun 20, 2013
The battle against Medicare waste, fraud and abuse heated up on Capitol Hill this week. Lawmakers introduced a bill to make Medicare claims and payments publicly available and asked for provider input...
Latest Medicare fraud allegations just an appetizer
By
John O'Connor
May 10, 2013
As we’ve been predicting here for some time, allegations of mismanaged therapy care are starting to land nursing homes in some seriously hot water.
HHS: Self-disclosure saves providers money in cases of Medicare and Medicaid fraud
By
McKnight's Staff
Apr 18, 2013
Long-term care providers who self-disclose potential Medicare and Medicaid fraud will likely benefit from lower repayment amounts, according to updated guidance released Wednesday. It is the first time...
Shamelessly invoice at your own risk
By
John O'Connor
Mar 22, 2013
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:...
IL whistleblower suit draws $28M fines
By
James M. Berklan
Mar 02, 2013
Two former nurses’ complaints about alleged substandard care and inappropriate billing resulted in $28.1 million in penalties being levied against the former owner of an Illinois nursing home. A...
Jury in nursing home whistleblower suit hands down $28M in fines
By
McKnight's Staff
Feb 14, 2013
A federal jury recently assessed penalties of $28.1 million against the former owner of an Illinois nursing home on charges that include Medicare and Medicaid fraud.
Feds join lawsuit against nursing home operator
By
Elizabeth Newman
Dec 17, 2012
The Department of Justice has joined a whistleblower fraud lawsuit against a former nursing home operator in Mississippi. The lawsuit was originally filed by Academy Health Center, which says the operator...
Fraud-fighting efforts not much to brag about
By
John O'Connor
Nov 30, 2012
In what has become a frequent event, the Inspector General at the Department of Health and Human Services has just issued yet another report that crows about heroic fraud-fighting efforts.