False Claims

Rehab firm's overbilling will cost provider $1 million-plus

Rehab firm's overbilling will cost provider $1 million-plus

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The fallout from a recent spike in rehabilitation charges to government payers continued to make headlines in September. This time, a nursing home company was blamed for insufficient oversight of its contract therapy provider.

Omnicare off the hook in drug packaging case after Supreme Court passes

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Long-term care pharmacy Omnicare will not face False Claims Act penalties for drug packaging practices that apparently ran afoul of safety regulations. The U.S. Supreme Court has declined to take up the case, meaning that an appeals court ruling in Omnicare's favor will stand.

Federal judge OKs statistical sampling of nursing home claims to support fraud charges

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The government can use a statistical sample of a nursing home company's Medicare claims to help prove overbilling charges, a federal judge recently decided in an unprecedented ruling.

State News for September 2014

State News for September 2014

MAINE - The state's nursing homes will get their first Medicaid rate increase in six years after a breathtaking display of mid-summer political brinksmanship. But dark days still loom in a state beset with closures and an over-65 population ratio that's second only to Florida's.

Federal court dismisses whistleblower lawsuit over Omnicare, PharMerica withholding generic drugs

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A federal court in New York has tossed a whistleblower lawsuit charging that large long-term care pharmacies violated the False Claims Act by failing to dispense requested generic drugs.

Supreme Court to decide whether Omnicare made illegal false statements to investors about nursing home kickbacks

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The U.S. Supreme Court will hear a case alleging that the nation's largest long-term care pharmacy, Omnicare, broke the law by keeping potential investors in the dark about kickbacks to nursing homes, the high court announced Monday.

HealthEssentials CEO agrees to $1 million settlement in False Claims suit

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Michael Barr, who co-founded the company now known as Kindred Healthcare, has agreed to pay $1 million in a settlement over Medicare fraud charges, the U.S. Department of Justice announced Monday.

Hospice to pay $3 million to settle Medicare fraud whistleblower case

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A Florida-based hospice provider has agreed to pay $3 million to settle a whistleblower lawsuit alleging false Medicare claims, the U.S. Department of Justice announced Wednesday.

Nursing home optometrist faces False Claims suit alleging excessive, unreasonable eye exams

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An optometrist in Kentucky defrauded Medicare and Medicaid by filing claims for nursing home care that was unnecessary or not provided, alleges a False Claims Act lawsuit recently brought by the federal government.

HHS: Self-disclosure saves providers money in cases of Medicare and Medicaid fraud

HHS: Self-disclosure saves providers money in cases of Medicare and Medicaid fraud

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Long-term care providers who self-disclose potential Medicare and Medicaid fraud will likely benefit from lower repayment amounts, according to updated guidance released Wednesday. It is the first time HHS has explicitly acknowledged systematically imposing lower penalties for self-reported fraud.