A $60 million lawsuit alleging understaffing and fraudulent billing at 45 senior living communities in North Carolina “is an erroneous interpretation of Medicaid reimbursement in the state,”...
Assisted living operator involved in record-breaking $1.3 billion healthcare fraud takedown
By
Lois A. Bowers
Jul 13, 2017
A Florida home health agency paid kickbacks to the owner of three assisted living communities and others in exchange for referrals that resulted in more than $3 million in fraudulent Medicare payments,...
Senior living executive settles in $3.9 million SEC fraud case
By
Lois A. Bowers
Jul 12, 2017
A South Carolina businessman has settled with the Securities and Exchange Commission after being charged in January in a $3.9 million fraud case for allegedly diverting investor funds meant to buy or renovate...
$60 million lawsuit alleges memory care understaffing, false billing
By
Lois A. Bowers
Jul 11, 2017
Forty-five senior living communities in North Carolina have defrauded the state and federal governments of more than $60 million by submitting claims for personal care services that, based on staffing...
CCRC bill would cause unintended consequences, advocacy group says
By
Lois A. Bowers
Mar 12, 2017
A Florida senator has introduced legislation he says is intended to protect residents from fraud perpetrated by continuing care retirement communities operating in the state, but a Sunshine State advocacy...
5 big issues in senior living in 2016
By
Lois A. Bowers
Dec 29, 2016
Looking back on our coverage of the senior living industry and the issues that affected it in 2016, several common themes emerge. Five are detailed in this year-end review.
OIG plans review of Medicaid waivers, employee background checks, more
By
Lois A. Bowers
Nov 10, 2016
Reviews of Medicare and Medicaid payments, fraud and abuse, and employee background check efforts are some of the items on the agenda for the Department of Health and Human Services Office of Inspector...
CMS seeks input on home- and community-based services
By
Lois A. Bowers
Nov 08, 2016
The Centers for Medicare & Medicaid Services is seeking input on ways to accelerate the provision of home- and community-based services to Medicaid beneficiaries. The request comes as many assisted living...
Assisted living owner accused in historic $1 billion healthcare fraud scheme
By
Lois A. Bowers
Jul 24, 2016
The owner of more than 30 Miami-area assisted living and skilled nursing facilities was charged with conspiracy, obstruction, money laundering and healthcare fraud in connection with a $1 billion scheme...
Sentencing today in assisted living CEO fraud case
By
Lois A. Bowers
Nov 16, 2015
Sentencing begins today in the U.S. District Court in Portland, OR, for Jon Michael Harder, the former assisted living CEO accused of defrauding investors of more than $130 million.