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.
Feds recover record $4 billion from fraudulent healthcare claims
Jan 25, 2011
The U.S. departments of Justice and Health and Human Services recovered a total of $4 billion in fiscal 2010 from healthcare fraud cases prosecuted under the False Claims Act, according to a new report...
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.
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...
To control private equity, legal experts suggest government sharpen existing tools
By
Kimberly Marselas
Mar 25, 2022
While the Biden administration is targeting private equity firms that invest in nursing homes for reforms, two attorneys well-versed in fraud argue that existing mechanisms could deter private equity from...
Six nursing home entities file for bankruptcy following $258M FCA ruling
By
Danielle Brown
Mar 04, 2021
Six affiliated nursing home businesses of Consulate Health Care have filed for Chapter 11 bankruptcy in response to a $258 million judgment in a False Claims Act case against the operator.
Comments on a public conference call led to whistleblower lawsuit against nursing home therapy provider
By
McKnight's Staff
May 28, 2013
Comments made during a therapy provider’s public conference call in 2006 aroused the suspicion of a listener, who went on to file a whistleblower lawsuit. This was disclosed in a recent court filing...
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...