Assisted living operator faces multiple felony charges over alleged diversion of millions in Medicaid,...
By
Kimberly Bonvissuto
Feb 03, 2023
An assisted living community and nursing home operator was indicted by a Wisconsin grand jury Wednesday on multiple fraud charges in a scheme connected to diverting millions in Medicare and Medicaid funds...
Electronic visit verification will become industry standard in near future, expert predicts
By
Adam Healy
Feb 07, 2024
Electronic visit verification, or EVV, will become industry standard soon, a marketplace executive predicts.
Business briefs, March 13
By
Kathleen Steele Gaivin
Mar 13, 2024
Fillmore Capital Partners gets nursing home fraud suit dismissed … Fortune questions nursing home ownership, quality ties … HHS FY25 budget has $150B for Medicaid HCBS, cybersecurity … CMS delivers...
MFCU efforts result in 20 convictions, $9.41 million in recoveries related to assisted living in FY 2023:...
By
Lois A. Bowers
Mar 18, 2024
Efforts by state Medicaid Fraud Control Units resulted in a total of 20 criminal convictions and $9.41 million in criminal case recoveries related to assisted living in fiscal year 2023, according to a...
Lawmaker introduces legislation to crack down on Medicare fraud
By
Kathleen Steele Gaivin
Mar 29, 2023
Rep. Lloyd Doggett (D-TX), ranking member of the House Ways and Means Health Subcommittee, has introduced two pieces of legislation to prevent Medicare fraud.
False Claims Act settlements, judgments top $2.68 billion, set record for number
By
Lois A. Bowers
Feb 26, 2024
False Claims Act settlements and judgments exceeded $2.68 billion in the fiscal year that ended Sept. 30, with more than $1.8 billion of the total related to matters involving healthcare fraud, including...
Unlicensed assisted living home operators swept up in nursing home ‘dumping’ case
By
Kimberly Bonvissuto
Aug 23, 2022
The operator of two unlicensed assisted living facilities was sentenced last week for felony theft following an investigation into nursing homes reportedly unlawfully discharging residents to unlicensed...
Company to pay $300,500 for billing Medicare for unnecessary COVID tests for senior living residents
By
Lois A. Bowers
Jun 21, 2023
A Maryland-based company that handles billing for diagnostic laboratories and other healthcare providers has agreed to pay $300,479.58 to resolve False Claims Act allegations that it submitted false claims...
Business briefs, Nov. 21
By
Kathleen Steele Gaivin
Nov 21, 2022
Ventas receives ESG award for 6th year in a row … Watercrest chef recognized by Senior Dining Association … Labor Department recovers $1.2M in back wages for 599 home health workers … Unlicensed...
Updated: Philip Esformes reaches plea deal with federal prosecutors on remaining charges in landmark...
By
Lois A. Bowers
Feb 02, 2024
Philip Esformes, the assisted living community and nursing home owner charged in 2016 in a $1.3 billion healthcare fraud case that the federal government at the time called “the largest healthcare fraud...