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...
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.
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.
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...
Lawmaker pressures CMS on status of national quality measures for HCBS
By
Alicia Lasek
Jul 13, 2021
The ranking member of the Senate Special Committee on Aging is turning up the heat on the Centers for Medicare & Medicaid Services, asking the agency’s chief to describe its efforts to establish quality...
Assisted living owner pays $150,000 settlement for Medicaid fraud
By
Kimberly Bonvissuto
Jul 08, 2021
The former owner and operator of a Missouri assisted living community has paid a $150,000 settlement in a Medicaid fraud case for falsely billing services that were not provided.