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...
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...
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...
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,”...
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...
Medicaid anti-fraud efforts result in 16 assisted living convictions, $241,798 in recoveries in 2018,...
By
Lois A. Bowers
Mar 26, 2019
Efforts by state Medicaid Fraud Control Units resulted in a total of 16 criminal convictions and $241,798 in criminal and civil monetary recoveries related to assisted living in fiscal year 2018, according...