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...
SNF owner led record $1 billion Medicare fraud ring, authorities say
By
James M. Berklan
Jul 25, 2016
The owner of more than 30 Miami-area nursing homes and assisted living facilities has been charged with leading a national record $1 billion-plus Medicare fraud scheme.
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...
Fraud-fighting efforts not much to brag about
By
John O'Connor
Nov 30, 2012
In what has become a frequent event, the Inspector General at the Department of Health and Human Services has just issued yet another report that crows about heroic fraud-fighting efforts.
State privacy laws could be slowing electronic medical record adoption
Jul 14, 2009
The call for widespread adoption of electronic medical records has prompted some states to pass stringent privacy laws to protect their residents against fraud or identity theft. But a new analysis finds...
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...
CMS may require more stringent provider screening for Medicare, Medicaid enrollment, participation
Sep 22, 2010
Some healthcare providers would be subject to criminal background checks and fingerprinting under a new fraud-prevention plan from the Centers for Medicare & Medicaid Services.
HHS: Anti-fraud summit could help reduce wasteful Medicare, Medicaid spending
Nov 02, 2009
The Department of Health and Human Services is considering convening a Medicare and Medicaid anti-fraud summit meeting. It would be one way to reduce wasteful spending and combat fraud, a representative...