Care provider to pay $14.9M over false claims involving assisted living communities
By
Kimberly Bonvissuto
Jun 10, 2024
A chronic disease management provider will have to shell out $14.9 million over allegations related to false claims involving assisted living communities, memory care communities and group homes.
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...
Philip Esformes pleads guilty to healthcare fraud, sentenced to time served
By
Kimberly Bonvissuto
Feb 22, 2024
Former assisted living community and nursing home owner Philip Esformes pleaded guilty to healthcare fraud on Thursday and received a sentence of time served, ending a case the federal government at one...
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...
Sizable number of older adults vulnerable to fraud, scams
By
Kimberly Bonvissuto
Sep 25, 2023
Results of a study using an experiment designed to mimic real-world imposter scams suggests that many older adults, including those without cognitive impairment, are vulnerable to fraud and scams, placing...
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.
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...
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...
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...
Former nursing director able to embezzle $420,000 after computer access not cut off when she was fired
By
Kimberly Bonvissuto
Jan 18, 2023
A senior living community nursing director was able to embezzle thousands of dollars from her former employer after being fired, in part because the community did not immediately disable her access to...