Medicaid Fraud

Hidden cameras result in criminal charges against Ohio nursing home owner, including substandard care and forgery

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Hidden cameras placed inside an Ohio nursing home have led to 39 criminal charges, state officials have announced.

Medicaid fraud units recovered $10 million from nursing homes in 2013, annual report shows

Medicaid fraud units recovered $10 million from nursing homes in 2013, annual report shows

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Medicaid Fraud Control Units recovered about $10.3 million from nursing facilities in fiscal year 2013, according to an annual report issued Friday. Civil fraud settlements and judgments accounted for the majority of nursing home recoveries last fiscal year, the report showed.

Franken reintroduces bill to facilitate rides from nursing homes to medical appointments

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More Medicaid dollars would flow to volunteers who drive nursing home residents to medical appointments under a bill recently reintroduced by Sen. Al Franken (D-MN). Seniors living in rural parts of Minnesota currently are scrambling to find rides, due to a dispute between transportation companies and Blue Cross/Blue Shield.

Nursing home operator to repay $1 million in Medicaid fraud case

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A South Carolina man will pay $1 million in restitution for his role in a nursing home Medicaid fraud scheme, the state's attorney general announced Thursday.

State news

State news

Virginia — State Sen. Bill Stanley (R) has introduced a bill requiring that nursing homes, assisted living facilities and other certified nursing facilities obtain minimum levels of insurance. If SB70 becomes law, affected facilities would have to maintain liability coverage of at least $1 million, and have levels of professional liability insurance defined by the state's medical malpractice caps.

New database makes it easy to see how states are combating Medicaid fraud and abuse

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A newly unveiled database created by the Pew Charitable Trusts provides comprehensive information about states' strategies for combating Medicaid fraud and abuse.

Women who ran nursing homes face charges of $2.75 million Medicaid fraud

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In the latest example of reimbursement fraud in Florida, authorities arrested the leaders of a nursing home management company Tuesday for allegedly defrauding Medicaid of more than $2.75 million.

Senators: Recovery audit contractors might be doubling up tasks; campaign against fraud gears up

Senators: Recovery audit contractors might be doubling up tasks; campaign against fraud gears up

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Members of the Senate Finance Committee say they are concerned that the functions completed by independent contractors — known as recovery audit contractors (RACs) and Zone Program Integrity Contractors (PICs) — often overlap.