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.
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...
Whistleblowers add to nursing home COVID relief burdens
By
Kimberly Marselas
Oct 31, 2022
A $105 million federal lawsuit filed last week — one possibly on its way to a quick dismissal — shows the growing threats nursing home operators face in accounting for their right to collect and spend...
Investigations into healthcare COVID relief heat up
By
Joe Bush
Oct 21, 2022
After several Provider Relief Reporting periods, the government is holding true to its word and ramping up audit and investigation activities.
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...
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...
False Claims suit against Omnicare, CVS Health dismissed in appeals court
By
Danielle Brown
Aug 20, 2020
Omnicare and parent company CVS Health earned a court victory this week after a federal appeals court agreed to dismiss a whistleblower’s False Claims Act lawsuit for an alleged kickback scheme.
Court expresses concern over Omnicare drug packaging practices but dismisses False Claims suit
By
Tim Mullaney
Feb 26, 2014
A whistleblower exposed disturbing drug packaging practices being used by long-term care pharmacy Omnicare Inc., but the charges don’t fall under the False Claims Act, a federal appeals court recently...
Federal government joins upcoding case against hospitalist company operating in LTC facilities
By
Tim Mullaney
Dec 10, 2013
The federal government has intervened in a whistleblower lawsuit alleging that a large hospitalist company systematically overbilled government health programs, the U.S. Department of Justice announced...