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,...
Care provider to pay $14.9M over false claims involving assisted living communities
By
Kimberly Bonvissuto
Jun 10, 2024
A chronic disease management provider will have to shell out $14.9 million over allegations related to false claims involving assisted living communities, memory care communities and group homes.
Hospice fraudster sentenced to 20 years in prison, ordered to pay $42 million penalty
By
Adam Healy
May 21, 2024
The US Attorney’s Office for the Eastern District of Louisiana sentenced a hospice owner to 240 months in prison and $42 million in penalties for charges related to Medicare fraud.
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...
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...
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...
Philip Esformes pleads guilty to healthcare fraud, sentenced to time served
By
Kimberly Bonvissuto
Feb 22, 2024
Former assisted living community and nursing home owner Philip Esformes pleaded guilty to healthcare fraud on Thursday and received a sentence of time served, ending a case the federal government at one...
Electronic visit verification will become industry standard in near future, expert predicts
By
Adam Healy
Feb 07, 2024
Electronic visit verification, or EVV, will become industry standard soon, a marketplace executive predicts.