CMS seeks input on home- and community-based services
By
Lois A. Bowers
Nov 08, 2016
The Centers for Medicare & Medicaid Services is seeking input on ways to accelerate the provision of home- and community-based services to Medicaid beneficiaries. The request comes as many assisted living...
10 ALF owners indicted on kickback and fraud charges
By
Lois A. Bowers
Oct 26, 2016
Ten owners of assisted living facilities in Florida have been charged with receiving kickbacks and bribes and committing healthcare fraud.
OIG plans review of Medicaid waivers, employee background checks, more
By
Lois A. Bowers
Nov 10, 2016
Reviews of Medicare and Medicaid payments, fraud and abuse, and employee background check efforts are some of the items on the agenda for the Department of Health and Human Services Office of Inspector...
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...
$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,”...