Nursing home residents targeted as part of massive Medicare scheme

Share this article:
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. 

Seven people charged in Baton Rouge, LA, allegedly billed $225.6 million in false claims, according to the Department of Justice. The employees at Shifa Community Health Center and Serenity Center allegedly recruited beneficiaries at nursing homes, hospitals and homeless shelters, for partial hospitalization programs. While they billed for group therapy, specifically education and recreational psychotherapy, the services were not provided to the beneficiaries, the DOJ said.

The case is the largest of its kind ever prosecuted by the Medicare Fraud Strike Force. A total of 107 people were charged Wednesday in Medicare fraud schemes involving $452 million in false billing. The charges are based on alleged fraud schemes involving home health care, mental health services, psychotherapy, physical and occupational therapy, durable medical equipment (DME) and ambulance services.

Share this article:

More in News

Skilled nursing facility trends contribute to improved Medicare outlook, Congressional report says

The Medicare trust fund is on track to remain solvent until 2030, trustees of the program stated in a Congressional report released Monday. This improved outlook is due in part to revised expectations about the case mix in skilled nursing facilities.

House bill would define, promote coordinated long-term care services

A bill introduced in the House of Representatives would target improved care coordination for seniors, also adding it under the Older Americans Act.

Seize the day: Tech Awards deadline is tomorrow

Seize the day: Tech Awards deadline is tomorrow

The final countdown has begun: Long-term care providers have less than 48 hours to enter the third annual McKnight's Excellence in Technology Awards. Submissions will be accepted through July 30.