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,...
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.
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.
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...
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...
Nursing homes previously sued for Medicare fraud received hundreds of millions in coronavirus relief...
By
Amy Novotney
Aug 05, 2020
For-profit nursing home operators that have faced accusations of Medicare fraud and kickbacks in recent years received more than $300 million in coronavirus relief payments, according to a Washington Post...
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.