Lawmaker pressures CMS on status of national quality measures for HCBS
By
Alicia Lasek
Jul 13, 2021
The ranking member of the Senate Special Committee on Aging is turning up the heat on the Centers for Medicare & Medicaid Services, asking the agency’s chief to describe its efforts to establish quality...
Assisted living owner pays $150,000 settlement for Medicaid fraud
By
Kimberly Bonvissuto
Jul 08, 2021
The former owner and operator of a Missouri assisted living community has paid a $150,000 settlement in a Medicaid fraud case for falsely billing services that were not provided.
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...
Mother-daughter duo arrested for reportedly defrauding Medicaid of $106,000 for services not provided...
By
Lois A. Bowers
Sep 26, 2022
A mother-daughter duo has been arrested in Florida for allegedly defrauding the Medicaid program of more than $106,000 by billing for psycho-social rehabilitation services they did not provide to six assisted...
$1.8 million healthcare scam defrauded senior living residents, Justice Department says
By
Kimberly Bonvissuto
Jul 01, 2020
An Omaha, NE, man was sentenced to 46 months in prison for using the personal information of senior living residents in several states to defraud Medicare and state Medicaid agencies out of thousands of...
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...
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,”...
Improper federal payments near $100 billion mark, auditors find
By
John O'Connor
Jun 09, 2017
Erroneous government payments to senior living operators and other health-related organizations are approaching $100 billion a year, a new federal report alleges.
Assisted living operator indicted in $800,000 Medicaid fraud case
By
Kimberly Bonvissuto
Aug 08, 2023
An assisted living operator has been indicted on multiple fraud charges for allegedly failing to document services provided and for allegedly submitting false Medicaid claims.