Long-term care providers among 193 criminally charged, $2.75 billion in fraud recoveries so far in 2024
By
Kathleen Steele Gaivin
Jul 01, 2024
The Justice Department has recovered more than $2.75 billion in false claims against healthcare providers and charged 193 defendants so far this year in criminal cases through its 2024 National Health...
Record-high False Claims Act settlements recovered in first half of 2024
By
Kathleen Steele Gaivin
Jun 21, 2024
After a record-breaking 2023, settlements under the False Claims Act continue along the same trajectory in the first half of 2024, “with notable healthcare fraud settlements under the FCA, AKS [the Anti-Kickback...
Business briefs, June 17
By
Kathleen Steele Gaivin
Jun 17, 2024
Provider groups praise bill streamlining Medicare Advantage prior authorization process … Consumer, industry advocates make recommendations for states to help combat rise in elder real estate fraud,...
Business briefs, March 13
By
Kathleen Steele Gaivin
Mar 13, 2024
Fillmore Capital Partners gets nursing home fraud suit dismissed … Fortune questions nursing home ownership, quality ties … HHS FY25 budget has $150B for Medicaid HCBS, cybersecurity … CMS delivers...
Lawmaker introduces legislation to crack down on Medicare fraud
By
Kathleen Steele Gaivin
Mar 29, 2023
Rep. Lloyd Doggett (D-TX), ranking member of the House Ways and Means Health Subcommittee, has introduced two pieces of legislation to prevent Medicare fraud.
11 New York-based SNFs allegedly committed Medicare fraud: DOJ
By
Kathleen Steele Gaivin
Jun 04, 2021
The United States has filed a civil healthcare fraud lawsuit against 11 skilled nursing facilities in the New York metropolitan area, their management company, owner and a senior employee for allegedly...
SNF pays nearly $8M in connection with switching residents’ healthcare coverage
By
Kathleen Steele Gaivin
Jul 05, 2022
A Bronx, NY, skilled nursing facility settled a lawsuit with the Department of Justice for almost $8 million for intentionally switching residents’ healthcare coverage to boost its Medicare reimbursements.
Business briefs, Nov. 21
By
Kathleen Steele Gaivin
Nov 21, 2022
Ventas receives ESG award for 6th year in a row … Watercrest chef recognized by Senior Dining Association … Labor Department recovers $1.2M in back wages for 599 home health workers … Unlicensed...
Fraudsters stole $280 billion+ in COVID-19 relief funding: analysis
By
Kathleen Steele Gaivin
Jun 13, 2023
More than $280 billion in COVID-19 relief meant for businesses and individuals intentionally was stolen by fraudsters, and another $123 billion was wasted or misspent, according to an Associated Press...