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...
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...
Updated: Philip Esformes reaches plea deal with federal prosecutors on remaining charges in landmark...
By
Lois A. Bowers
Feb 02, 2024
Philip Esformes, the assisted living community and nursing home owner charged in 2016 in a $1.3 billion healthcare fraud case that the federal government at the time called “the largest healthcare fraud...
Court rules in favor of CCRC in class action entrance fee case alleging consumer fraud
By
Kimberly Bonvissuto
Jan 16, 2024
A provision in state law cited in a class action lawsuit against a continuing care retirement community only applies to food-related fraud and, therefore, cannot be used by residents and families to secure...
Artificial intelligence ‘amplifying’ effect of scams against older adults
By
Kimberly Bonvissuto
Nov 17, 2023
Last year, older Americans reported losing more than $1.6 billion to fraud. And increasingly, scammers are using artificial intelligence to make their schemes more effective.
Assisted living residents, others, had more than $1.5 billion stolen in a year, DOJ says
By
Kimberly Bonvissuto
Nov 10, 2023
The Department of Justice brought almost 300 criminal and civil actions against more than 650 people who collectively stole more than $1.5 billion from more than 2.4 million older adults, including assisted...
Older adults at risk for real-world impersonation scams
Sep 27, 2023
The highest cognition and financial literacy was reported for older adults who engage but with skepticism.
Sizable number of older adults vulnerable to fraud, scams
By
Kimberly Bonvissuto
Sep 25, 2023
Results of a study using an experiment designed to mimic real-world imposter scams suggests that many older adults, including those without cognitive impairment, are vulnerable to fraud and scams, placing...
Company to pay $300,500 for billing Medicare for unnecessary COVID tests for senior living residents
By
Lois A. Bowers
Jun 21, 2023
A Maryland-based company that handles billing for diagnostic laboratories and other healthcare providers has agreed to pay $300,479.58 to resolve False Claims Act allegations that it submitted false claims...
US unemployment claims drop to 10-week low after a state adjusts for fraud
By
Kathleen Steele Gaivin
May 26, 2023
The number of national unemployment claims reported earlier this month was significantly lower than originally reported by the Department of Labor following a fraud investigation by the Massachusetts Department...