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.
Senior living owner faces potential 170 years in prison, $170,000 in fines for allegedly exploiting residents
By
Kimberly Bonvissuto
Jun 28, 2021
The owner of an Oklahoma residential care home faces up to 170 years in prison and $170,000 in fines for allegedly exploiting 17 older adults in his care.
11 New York-based SNFs allegedly committed Medicare fraud: DOJ
By
Kathleen Steele Gaivin
Jun 04, 2021
The United States has filed a civil healthcare fraud lawsuit against 11 skilled nursing facilities in the New York metropolitan area, their management company, owner and a senior employee for allegedly...
LTC pharmacy agrees to $2.75M settlement over controlled substance dispensing, coverup allegations
By
Kimberly Bonvissuto
May 17, 2021
A national long-term care pharmacy provider agreed to a $2.75 million settlement with the federal government over allegations of improperly dispensing controlled substances at long-term care facilities...
Federal prosecutors intend to retry Philip Esformes on healthcare fraud conspiracy
By
Kimberly Bonvissuto
Apr 28, 2021
Justice Department prosecutors informed a federal court judge on Monday of their intentions to retry convicted former Florida assisted living and skilled nursing facility owner Philip Esformes on the main...
Criminal recoveries for Medicaid fraud in assisted living top $1 million again due to case discovered...
By
Lois A. Bowers
Apr 08, 2021
Fallout from a Medicaid fraud case discovered because of a murder at an assisted living community had an outsized effect on fraud-related criminal monetary recoveries by state Medicaid Fraud Control Units...
Physician pays nearly half a million dollars to resolve home healthcare fraud allegations
By
Joe Jancsurak
Mar 22, 2021
A doctor of osteopathic medicine in Houston has agreed to pay $475,000 to resolve allegations that he falsely certified patients for home health services and received improper payments.
HHS nominee Xavier Beccera fortifies California fraud control unit
By
Kimberly Bonvissuto
Feb 01, 2021
California is elevating and expanding its efforts to uncover and pursue fraud, abuse and neglect cases.
Philip Esformes appealing $43 million in penalties stemming from fraud conviction
By
Kimberly Bonvissuto
Jan 06, 2021
Former assisted living and skilled nursing facility owner Philip Esformes may have had his 20-year prison sentence for his role in “the largest healthcare fraud scheme charged by the U.S. Justice Department”...