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...
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.
Narcotics theft alleged in first Medicaid fraud unit case
By
John O'Connor
Apr 20, 2020
Charlotte Kay Reilly, has become the first person to be prosecuted by the North Dakota Medicaid Fraud Unit. She was charged with theft of prescription medication and reckless endangerment.
MFCU efforts result in 17 assisted living convictions, $265,000 in recoveries in FY 2022: OIG report
By
Lois A. Bowers
Mar 14, 2023
Efforts by state Medicaid Fraud Control Units resulted in a total of 17 criminal convictions and $265,040 in criminal case recoveries related to assisted living in fiscal year 2022, according to a new...
OIG reports $1.7 billion in Medicaid fraud recoveries in fiscal year 2021, despite pandemic challenges
By
Kimberly Bonvissuto
Mar 17, 2022
Efforts by state Medicaid Fraud Control Units continued to face pandemic-related operational challenges in fiscal year 2021 but still managed to recover $1.7 billion, according to a new report.
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...
Senior living operators, the ball’s in your court
By
John O'Connor
Sep 17, 2020
It’s a bit troubling to watch bad moves made by skilled care operators repeated in senior living. Yet it continues to happen.