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...
False Claims Act settlements, judgments top $2.68 billion, set record for number
By
Lois A. Bowers
Feb 26, 2024
False Claims Act settlements and judgments exceeded $2.68 billion in the fiscal year that ended Sept. 30, with more than $1.8 billion of the total related to matters involving healthcare fraud, including...
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...
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...
Philip Esformes’ conviction in $1.3B fraud case, $44M in penalties, upheld by appeals court
By
Lois A. Bowers
Jan 09, 2023
The 11th U.S. Circuit Court of Appeals on Friday upheld the criminal conviction of assisted living community and skilled nursing facility owner Philip Esformes in a healthcare fraud case that the federal...
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...
This gift helps residents and staff avoid scams
By
Lois A. Bowers
Dec 20, 2021
At a time of year when many of us are purchasing gift cards to enable loved ones to buy something of their choosing, data from the Federal Trade Commission reveal that, increasingly, criminals are separating...
Median loss to fraud higher for adults in their 80s than for any other age group: FTC
By
Lois A. Bowers
Nov 01, 2021
Adults 80 or older who made fraud reports to the Federal Trade Commission’s Consumer Sentinel Network, or who had reports made on their behalf, lost a median of $1,300 to fraud in 2020, according to...
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...