The perpetrators of a $900 million healthcare scam targeted nursing homes and other facilities where seniors lived, looking for Medicare patients whom they could dupe into receiving expensive wound care...
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.
Feds pledge fraud enforcement surge, while others seek whistleblowers
By
Kimberly Marselas
Sep 29, 2021
Skilled nursing providers will remain in the crosshairs as fraud enforcement picks up post-COVID, but it’s not just federal officials taking aim, according to one of the government’s top healthcare...
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...
Prosecutor: Nursing home workers busted with fake COVID-19 vaccination cards
By
Kimberly Marselas
Sep 02, 2021
Thirteen frontline nursing home and hospital workers have been charged with buying fake COVID-19 vaccine cards from a fraud ring in New York, Manhattan’s top prosecutor said.
Criminal trial starts for PA nursing home owner, staff accused of falsifying staffing records
By
Kimberly Marselas
Nov 17, 2023
A co-owner of two Western Pennsylvania nursing homes and several of his former building leaders are on trial this week, defending themselves against extensive federal charges related to Medicaid and Medicare...
Tossed from Medicare once, nursing home psychologist pleads guilty in second fraud scheme
By
Kimberly Marselas
Dec 14, 2022
A nursing home psychologist previously excluded from the Medicare program over fraud allegations has pleaded guilty to new charges that he bilked the government out of another $2.5 million.
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.
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.
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.