‘Parasite’ Esformes convicted in $1.3B nursing home fraud, could face remaining years in prison
By
Marty Stempniak
Apr 08, 2019
Florida long-term care business mogul Philip Esformes faces the possibility of decades in prison after being convicted Friday in the largest healthcare fraud scheme ever charged by the U.S. Justice Department.
Former hospital director, physician’s assistant plead guilty in $1 billion Esformes fraud case
By
Marty Stempniak
Jan 24, 2019
Two major players in a billion-dollar nursing home-related fraud case have pled guilty and could face years in prison.
Medicare enhances readability and fraud protections with streamlined benefit statements
By
McKnight's Staff
Mar 08, 2012
Medicare recipients soon will be reaping the benefits of simplified benefit statements and will see added protections against Medicare fraud, the Centers for Medicare & Medicaid Services announced Wednesday.
X-ray exec who targeted nursing homes is sentenced in $3.7 million fraud case
By
Joe Bush
Oct 03, 2022
A man who charged Medicare and Medicaid for X-rays he had not taken of people who had died has been sentenced to 15 years in jail and ordered to pay almost $2 million in restitution.
OIG: Higher than average nursing home payments might indicate fraud
Jul 18, 2011
Nursing homes that collect daily Medicare Part B payments that are more than three times the national average should be closely monitored for possible fraud and abuse, according to a new Office of the...
Congressional lawmakers grill top ALJ on appeals backlog, say too many providers are being put out of...
By
Tim Mullaney
Jul 11, 2014
Efforts to root out Medicare fraud have put far too many above-board providers in auditors’ crosshairs, leading to a staggering backlog of appeals that has no easy fix, Congressional lawmakers and...