Once facing imminent closure, massive CA provider earns recertification … State becomes first to strip Medicaid asset limit … Lab owner gets prison, $77.3 million restitution bill for Medicare genetic...
X-ray exec who targeted nursing homes is sentenced in $3.7 million fraud case
By
Joe Bush
Oct 03, 2022
A man who charged Medicare and Medicaid for X-rays he had not taken of people who had died has been sentenced to 15 years in jail and ordered to pay almost $2 million in restitution.
Nursing home residents targeted in $86M Medicare lab fraud scheme: DOJ
By
Danielle Brown
Jul 09, 2021
Nursing homes and their residents were targeted in an alleged $86 million Medicare fraud scheme orchestrated by the owner of a Tennessee-based lab, federal authorities say.
80-year-old hospice administrator gets 2½-year sentence, $2.1M fine for vast Medicare fraud
By
Danielle Brown
Feb 23, 2021
The elderly administrator of a California hospice agency has been ordered to pay more than $2.1 million after pleading guilty to conspiracy to commit healthcare fraud in a sprawling $28 million scheme.
Operator accused of falsely billing for skilled nursing services in $100M fraud scheme
By
Danielle Brown
Feb 02, 2021
The part-owner and operator of a Massachusetts-based home health company and a licensed practical nurse are accused of falsely billing for home health services that were never provided, including skilled...
‘Parasite’ Esformes convicted in $1.3B nursing home fraud, could face remaining years in prison
By
Marty Stempniak
Apr 08, 2019
Florida long-term care business mogul Philip Esformes faces the possibility of decades in prison after being convicted Friday in the largest healthcare fraud scheme ever charged by the U.S. Justice Department.
Former hospital director, physician’s assistant plead guilty in $1 billion Esformes fraud case
By
Marty Stempniak
Jan 24, 2019
Two major players in a billion-dollar nursing home-related fraud case have pled guilty and could face years in prison.
Also in the News for Monday, March 5
Mar 05, 2018
Police: Nurse shows up on day off to steal Fentanyl patches — off residents’ bodies … New intake system erasing Minnesota’s backlog of 3,000-plus elder abuse reports … Owner of...
Long-term care providers would receive more education from auditors under draft Medicare bill
By
Tim Mullaney
Aug 11, 2014
Medicare auditors would boost outreach and education efforts to long-term care and other providers under the provisions of a draft bill introduced Thursday by Rep. Kevin Brady (R-TX), chairman of the Ways...
Congressional lawmakers grill top ALJ on appeals backlog, say too many providers are being put out of...
By
Tim Mullaney
Jul 11, 2014
Efforts to root out Medicare fraud have put far too many above-board providers in auditors’ crosshairs, leading to a staggering backlog of appeals that has no easy fix, Congressional lawmakers and...