Assisted living company could pay more than $3 million for Medicaid fraud discovered after murder
By
Lois A. Bowers
May 28, 2019
The owner of an assisted living company has been sentenced to five years in jail, and the company will have to pay a fine of up to $2.05 million for Medicaid fraud that was discovered after a murder took...
Medicaid anti-fraud efforts result in 16 assisted living convictions, $241,798 in recoveries in 2018,...
By
Lois A. Bowers
Mar 26, 2019
Efforts by state Medicaid Fraud Control Units resulted in a total of 16 criminal convictions and $241,798 in criminal and civil monetary recoveries related to assisted living in fiscal year 2018, according...
Bill expanding Medicaid fraud investigations wins support but appears stalled
By
Lois A. Bowers
May 01, 2018
A bipartisan bill that would expand the reach of Medicaid Fraud Control Units to any setting where beneficiaries receive services has gained the backing of the National Association of Attorneys General...
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 community hit with False Claims Act lawsuit for $1.1 million in Medicaid claims
By
Lois A. Bowers
May 31, 2017
The Maryland attorney general is seeking civil penalties and treble damages to the state in a lawsuit against an assisted living community he says submitted false Medicaid claims totaling $1.1 million...
Attorneys general seek to expand search for Medicaid abuse and neglect cases
By
Lois A. Bowers
May 11, 2017
Thirty-eight attorneys general asked Health and Human Services Secretary Tom Price, M.D., Wednesday for a policy change that would allow them to investigate and prosecute a wider range of abuse and neglect...
Assisted living owner, three managers charged with defrauding Medicaid of more than $1 million
By
Lois A. Bowers
Mar 12, 2017
The owner and three managers of an Alaska assisted living home have been indicted after the home allegedly billed the state for more than $1 million in home- and community-based services that were not...
Government expects to recover $1.9 billion for 2016 Medicaid fraud cases
By
Lois A. Bowers
Mar 06, 2017
The federal government expects to recover almost $1.9 billion from Medicaid fraud, abuse and neglect cases that were settled or for which judgments were issued in 2016, according to new data released Monday.
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...
Care provider to pay $14.9M over false claims involving assisted living communities
By
Kimberly Bonvissuto
Jun 10, 2024
A chronic disease management provider will have to shell out $14.9 million over allegations related to false claims involving assisted living communities, memory care communities and group homes.