New DOJ whistleblower program not ‘easy money’: legal expert
By
Jessica R. Towhey
Aug 06, 2024
A new federal program that will reward whistleblowers who help the government successfully prosecute corporate wrongdoing could incentivize long-term care workers to dig into their facilities’ records...
DOJ hits telehealth firm for $4.6M in false claims settlement involving nursing homes
By
Josh Henreckson
Jun 14, 2024
A company that provides mental telehealth services to skilled nursing residents has agreed to pay the federal government $4.6 million to resolve false claims allegations.
Whistleblowers get another chance to fine-tune 8-year-old allegations against Genesis
By
Kimberly Marselas
Apr 19, 2024
More than eight years after first alleging False Claims Act violations against Genesis Healthcare and Sun Healthcare, a group of whistleblowers was given more time to refine its case.
False Claims notch a record year, increasing threat to skilled nursing
By
Kimberly Marselas
Feb 26, 2024
Healthcare providers were forced to pay a historic $2.7 billion to resolve federal False Claims Act allegations last year, an escalation that will likely allow the government to support even more investigations...
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.
Nursing facilities victorious over ‘woefully’ weak whistleblower claim
By
Kimberly Marselas
Sep 22, 2023
A federal judge has dismissed False Claims allegations against eight skilled nursing facilities and their therapy partner, saying a would-be whistleblower didn’t offer enough detail to explain how a...
Rising focus on False Claims puts skilled nursing providers in crosshairs, attorneys warn
By
Jessica R. Towhey
Aug 09, 2023
Nursing homes looking to protect themselves from False Claim Act investigations should maintain at least a 3-star rating and ensure they don’t delay discharges to get extra reimbursement, a panel...
Medicare Advantage plan settles upcoding allegations for $22.5M
By
Kimberly Marselas
Aug 02, 2023
A Medicare Advantage plan will pay $22.5 million to settle allegations that it systematically reviewed patient charts to tack on additional charges before submitting claims to Medicare, federal law enforcement...
Lab owner bilked Medicare of $7 million in nursing home COVID scheme, feds say
By
Kimberly Marselas
Jul 21, 2023
A laboratory owner preyed on nursing home clients to bilk Medicare out of at least $7 million in claims for early COVID-era tests that were unnecessary and, in some cases, never performed, the government...
Feds’ value-based changes present ‘long overdue’ opening for SNFs
By
Kimberly Marselas
Apr 06, 2023
Payment and quality experts on Wednesday described extensive changes proposed for skilled nursing’s value-based purchasing program as “long overdue” and a way to “reset the playing field.”