Baker Donelson

 'Extrapolation' demonstrates False Claims Act liability in rehab

'Extrapolation' demonstrates False Claims Act liability in rehab

Recent FCA complaints have relied on a number of arguments to substantiate the submission of false claims for Medicare reimbursement: systematic upcoding to higher RUG levels due to corporate "pressure" on front line care providers; targeting therapy at or around RUG thresholds; increasing therapy during "look back" periods; and providing skilled therapy that was not required for improvement in functioning.

Top 10 ways to avoid litigation

Top 10 ways to avoid litigation

In nursing home lawsuits, plaintiffs are often unhappy family members of residents who have experienced falls, pressure wounds, unexplained injuries or death. In our practice defending long-term care facilities, we have identified some relatively simple and straightforward actions that nursing homes can take to avoid litigation.

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