Medicaid fraud discovered because of murder pushes nationwide assisted living monetary recoveries to...
By
Lois A. Bowers
Apr 01, 2020
Efforts by state Medicaid Fraud Control Units resulted in a total of 23 criminal convictions and more than $2.2 million in criminal monetary recoveries related to assisted living in fiscal year 2019, according...
President’s clemency order in $205 million case sends message that assisted living fraud is OK, former...
By
Lois A. Bowers
Mar 19, 2020
President Trump’s commutation of the 35-year prison sentence of a woman convicted of orchestrating a $205 million Medicare fraud scheme that involved assisted living facility owners and operators “may...
Woman convicted in $205 million assisted living fraud scheme has 35-year sentence commuted by President...
By
Lois A. Bowers
Feb 20, 2020
A Florida woman sentenced to 35 years in prison for orchestrating a $205 million Medicare fraud scheme that involved paying bribes and kickbacks to owners and operators of assisted living facilities and...
Care provider to adult home residents to pay $1.1 million to resolve kickback, fraudulent billing allegations
By
Lois A. Bowers
Jan 23, 2020
A New York otolaryngologist has agreed to pay more than $1.1 million to resolve civil allegations that he and his practice paid kickbacks and submitted false claims to federal healthcare programs for services...
Doctor’s office business manager pleads guilty to fraud related to assisted living services
By
Lois A. Bowers
Jan 13, 2020
The former business manager of a now-closed Michigan obstetrics / gynecology medical practice faces sentencing April 14 after pleading guilty to one count of conspiracy to commit healthcare fraud, a felony,...
Big senior living stories of 2019
By
Lois A. Bowers
Dec 23, 2019
Here’s a look at some of the news that occupied many minds in senior living over the past year.
Fraudulent health screenings, activities programming targeting elderly cost government billions, Justice...
By
Lois A. Bowers
Sep 30, 2019
In one case, 35 defendants associated with dozens of telemedicine companies and cancer genetic testing laboratories fraudulently billed Medicare more than $2.1 billion for cancer genetic tests that “capitalized...
Manslaughter, $2.1 million in Medicaid fraud among 76 charges filed against assisted living facility...
By
Lois A. Bowers
Sep 26, 2019
Minnesota Attorney General Keith Ellison said he is “aggressively prosecuting” cases against the former owner and nine former managers or employees of a now-closed assisted living facility who have...
North Dakota becomes final state with Medicaid Fraud Control Unit
By
Lois A. Bowers
Sep 20, 2019
North Dakota has become the final state to have a Medicaid Fraud Control Unit. The entities investigate and prosecute Medicaid provider fraud and resident / patient abuse and neglect in assisted living...
Philip Esformes sentenced to 20 years in prison in healthcare fraud case
By
Lois A. Bowers
Sep 12, 2019
Former Florida assisted living and skilled nursing facility owner Philip Esformes has been sentenced to 20 years in prison for his role in a case that the federal government continues to describe as “the...