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...
Court upholds $1.3 billion Esformes nursing home fraud verdict, $44 million penalties
By
James M. Berklan
Jan 09, 2023
Convicted former nursing home chain operator Philip Esformes had his prison sentence commuted by then-President Trump in 2020, but a federal appeals court ruled Fridhe will still be liable for $44 million...
Supreme Court declines to hear appeal from former nursing home mogul Esformes
By
Josh Henreckson
Dec 12, 2023
The US Supreme court has rejected the appeal of Phillip Esformes, clearing the path for his continued prosecution on six counts related to a massive nursing home fraud scheme.
Updated: Philip Esformes reaches plea deal on remaining charges in $1.3B fraud case
By
Lois A. Bowers
Feb 02, 2024
Philip Esformes, the disgraced nursing home and assisted living community owner charged in a record $1.3 billion healthcare fraud case in 2016, has reached a plea deal with prosecutors on outstanding charges...
Healthcare fraud rampant, but OIG refines its focus on nursing homes
By
Neville M. Bilimoria
Feb 19, 2024
For 2024, healthcare fraud has already been rampant, according to the U.S. Department of Health and Human Services Office of Inspector General. But on Jan. 19, the OIG took a specific stance with...
NY nursing home to pay up to $8.6M, make major reforms to resolve criminal fraud charges
By
Josh Henreckson
Mar 05, 2024
A settlement with the New York Attorney General’s office will require a Long Island nursing home to pay up to $8.6 million in Medicare and Medicaid restitution and funding for state-mandated changes...
Also in the News for Oct. 24, 2022
By
Joe Bush
Oct 24, 2022
Psychologist who worked with nursing homes convicted of fraud … HHS commits $13 million for nurse education and training … CMS asks for comment on information collection, including PACE info … Wyoming...
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.
‘Unwitting’ senior living and care providers swept up in $114 million fake nursing degree scheme
By
Kimberly Bonvissuto
Jan 30, 2023
Skilled nursing facilities, an assisted living community and home health providers were among many businesses across the country duped into hiring more than 7,600 nurses with fake credentials, according...