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...
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...
Philip Esformes has 20-year sentence in fraud case commuted by President Trump
By
Lois A. Bowers
Dec 23, 2020
In one of two cases with assisted living connections, President Donald Trump has commuted the sentence of Philip Esformes, the former assisted living and skilled nursing facility owner who was sentenced...
Big senior living stories of 2020
By
Lois A. Bowers
Dec 22, 2020
A year ago, nobody in the U.S. senior living industry would have predicted that a pandemic would upend everyone’s personal and professional lives in 2020. But COVID-19 undoubtedly was the story of the...
FTC warns that assisted living communities cannot take residents’ stimulus checks
By
Lois A. Bowers
May 18, 2020
The Federal Trade Commission is telling consumers to report assisted living communities and nursing homes to the federal government and to state attorneys general if facilities wrongly say they are entitled...
Medicaid fraud discovered because of murder pushes nationwide assisted living monetary recoveries to...
By
Lois A. Bowers
Apr 01, 2020
Efforts by state Medicaid Fraud Control Units resulted in a total of 23 criminal convictions and more than $2.2 million in criminal monetary recoveries related to assisted living in fiscal year 2019, according...
President’s clemency order in $205 million case sends message that assisted living fraud is OK, former...
By
Lois A. Bowers
Mar 19, 2020
President Trump’s commutation of the 35-year prison sentence of a woman convicted of orchestrating a $205 million Medicare fraud scheme that involved assisted living facility owners and operators “may...
Woman convicted in $205 million assisted living fraud scheme has 35-year sentence commuted by President...
By
Lois A. Bowers
Feb 20, 2020
A Florida woman sentenced to 35 years in prison for orchestrating a $205 million Medicare fraud scheme that involved paying bribes and kickbacks to owners and operators of assisted living facilities and...
Care provider to adult home residents to pay $1.1 million to resolve kickback, fraudulent billing allegations
By
Lois A. Bowers
Jan 23, 2020
A New York otolaryngologist has agreed to pay more than $1.1 million to resolve civil allegations that he and his practice paid kickbacks and submitted false claims to federal healthcare programs for services...
Doctor’s office business manager pleads guilty to fraud related to assisted living services
By
Lois A. Bowers
Jan 13, 2020
The former business manager of a now-closed Michigan obstetrics / gynecology medical practice faces sentencing April 14 after pleading guilty to one count of conspiracy to commit healthcare fraud, a felony,...