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...
Unlicensed assisted living home operators swept up in nursing home ‘dumping’ case
By
Kimberly Bonvissuto
Aug 23, 2022
The operator of two unlicensed assisted living facilities was sentenced last week for felony theft following an investigation into nursing homes reportedly unlawfully discharging residents to unlicensed...
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.
Federal crackdown uncovers $149 million in healthcare-related COVID-19 fraud
By
Kimberly Bonvissuto
Apr 21, 2022
The Department of Justice on Wednesday announced criminal charges against 21 companies in nine federal districts for an alleged $149 million in pandemic-related healthcare fraud schemes.
More news for Friday, April 8
By
Kimberly Bonvissuto
Apr 08, 2022
CBRE Seniors Housing & Care Investor Survey identifies industry trends … Senior housing staffing shortages move from severe to moderate: NIC … CMS finalizes Medicare coverage policy for Alzheimer’s...
DOJ alleges $40 million Medicare fraud scheme tied to assisted living, nursing homes
By
Kimberly Bonvissuto
Apr 05, 2022
A $40 million Medicare fraud scheme involving assisted living communities and nursing homes includes the submission of thousands of false claims across several states over six years, according to the Department...
OIG reports $1.7 billion in Medicaid fraud recoveries in fiscal year 2021, despite pandemic challenges
By
Kimberly Bonvissuto
Mar 17, 2022
Efforts by state Medicaid Fraud Control Units continued to face pandemic-related operational challenges in fiscal year 2021 but still managed to recover $1.7 billion, according to a new report.
$17 million settlement resolves kickback allegations tied to senior living operator’s sale of 2 home...
By
Kimberly Bonvissuto
Sep 28, 2021
The 2014 sale of two home health agencies by a national senior living provider is at the center of a recent $17 million settlement to resolve False Claims Act kickback allegations.
Florida home healthcare firms linked to $308M in fraudulent claims in federal crackdown
By
Diane Eastabrook
Sep 21, 2021
A massive federal crackdown on healthcare fraud in Florida last week snared 52 providers including home healthcare firms.
2 charged with using senior living residents to commit healthcare fraud
By
Kimberly Bonvissuto
Sep 16, 2021
An El Paso, TX, woman and her nephew were arrested last week on healthcare fraud charges for using senior living residents to submit fraudulent Medicare claims.