Potential False Claims Act liability for nursing homes
By
Mysty Blagg
Jul 07, 2021
The FCA is the Department of Justice’s key tool in combating healthcare fraud and abuse The False Claims Act (FCA) provides a remedy of civil damages when a party 1) makes a false statement or engages...
Might want to double check those billings
By
John O'Connor
Feb 26, 2024
To say the feds are keeping a closer eye on you is probably a bit of an understatement.
The risks of ‘swapping’ for durable medical equipment
By
Lori Rubin
Japa Volchok, D.O.
Apr 14, 2021
Skilled nursing facilities are to assume the cost of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) under a bundled payment methodology for residents in Medicare Part A covered...
‘Extrapolation’ demonstrates False Claims Act liability in rehab
By
Jason Edgecombe and Ted Lotchin
Aug 11, 2015
Recent FCA complaints have relied on a number of arguments to substantiate the submission of false claims for Medicare reimbursement: systematic upcoding to higher RUG levels due to corporate “pressure”...
False Claims Act liability for poor quality of care
By
Jason R. Edgecombe and Ted Lotchin
Sep 14, 2015
Not surprisingly, different federal courts have staked out different positions on the standard for liability under a worthless services complaint.
Could everything be a kickback?
By
Chris Sabis
Dec 15, 2021
The U.S. District Court for the Middle District of Tennessee recently issued a number of rulings interpreting the federal False Claims Act (FCA) and its state law counterparts relevant to long-term care...