Department Of Justice

DOJ joins Omnicare lawsuit over alleged Abbott Depakote kickbacks

DOJ joins Omnicare lawsuit over alleged Abbott Depakote kickbacks

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The Justice Department has filed a False Claims Act complaint against Omnicare Inc., alleging the pharmaceutical giant received millions in kickbacks from Abbott Laboratories over a 10-year period.

$1.3 million settlement marks second recent deal over SNF supervision of therapy providers

$1.3 million settlement marks second recent deal over SNF supervision of therapy providers

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A Maryland nursing home company has agreed to a $1.3 million settlement over charges that it did not prevent overbilling by its contracted therapy provider, federal authorities announced Monday. This is the second such settlement this month involving therapy company RehabCare Group East Inc.

Latest therapy-billing showdown could be ominous sign for long-term care providers

Latest therapy-billing showdown could be ominous sign for long-term care providers

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Don't let anyone tell you that long-term care operators don't know how to read between the lines. They might not have known to fear a McKnight's Monday news item before it broke, but it definitely has their attention — and apprehension — now.

DOJ forces observation stay showdown

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Hospitals have been cast in a harsh light by long-term care advocates recently for allegedly over-using "observation stay" status. The practice can ultimately deny some patients subsequent Medicare coverage for nursing home admission.

Largest US hospital chain to pay $98 million in observation stay case

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The nation's largest hospital organization has agreed to a $98 million settlement to resolve charges that it overbilled by admitting individuals as inpatients rather than keeping them under observation, the Department of Justice announced Monday.

Provider networks: Too big to succeed?

Provider networks: Too big to succeed?

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At this point, you're well aware that the Affordable Care Act is putting pressure on post-acute providers to partner with hospitals and physician groups. A recent whistleblower case in California highlights just how important this systemic transformation is — but another legal battle making headlines underscores how difficult it might be to "right size" the U.S. healthcare system.

Government, Abbott Laboratories reach $5.5M settlement over stents

The Department of Justice and Abbott Laboratories agreed to a $5.48 million settlement on Dec. 27 related to allegations that physicians received kickbacks for pushing stents.

Johnson & Johnson to pay $2 billion in settlement over antipsychotic drugs in nursing homes

Johnson & Johnson to pay $2 billion in settlement over antipsychotic drugs in nursing homes

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Pharmaceuticals giant Johnson & Johnson and some subsidiaries will pay more than $2.2 billion to settle claims that they inappropriately promoted antipsychotic drugs for use in nursing homes, the U.S. Department of Justice announced Monday. The agreement is one the largest ever of its kind, and will also settle charges that the companies paid kickbacks to the nation's largest long-term care pharmacy, Omnicare.

Latest Medicare fraud allegations just an appetizer

Latest Medicare fraud allegations just an appetizer

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As we've been predicting here for some time, allegations of mismanaged therapy care are starting to land nursing homes in some seriously hot water.

False Claims lawsuit, government report raise questions about expensive types of hospice care

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A government lawsuit and a memorandum from the Department of Health and Human Services Office of Inspector General raise questions about the two most expensive types of hospice care.

Ensign settles with DOJ

Ensign settles with DOJ

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The Ensign Group announced a settlement with the Department of Justice on Monday in which it will pay $48 million. The case has been pending since 2006, when the company was accused of overbilling.

Feds join lawsuit against nursing home operator

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The Department of Justice has joined a whistleblower fraud lawsuit against a former nursing home operator in Mississippi. The lawsuit was originally filed by Academy Health Center, which says the operator of the Lumberton facility charged Medicare and Medicaid for services that were not provided.

Former exec alleges Florida hospice filed claims for patients not terminally ill; government joins lawsuit

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The federal government has joined a whistleblower lawsuit against a Florida hospice over what it says were fraudulent Medicare payments, the Department of Justice announced.

Nursing home residents targeted as part of massive Medicare scheme

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Beneficiaries from nursing homes were a target of a group filing false claims in what authorities call the largest Community Mental Health Center services fraud case.

Assisted living manager pleads guilty to a Medicare fraud and kickback scheme

Assisted living manager pleads guilty to a Medicare fraud and kickback scheme

In the latest fallout from a massive Medicare fraud kickback scheme in Florida, an assisted living manager has admitted he referred residents in exchange for money.

Department of Justice files suit against Johnson & Johnson in connection with kickback scheme with Omnicare

Department of Justice files suit against Johnson & Johnson in connection with kickback scheme with Omnicare

The U.S. Department of Justice on Friday filed a lawsuit against Johnson & Johnson for its alleged role in a kickback scheme with Omnicare, the nation's largest long-term care pharmacy chain.