Overbilling

Playing fast and loose with Medicaid termination

Playing fast and loose with Medicaid termination

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There are many benefits to communicating to your cohorts in neighboring states, and not the least of it may be knowing when a provider is kicked out of Medicaid.

Medicaid overbilling allegations were 'inaccurate' and 'misleading,' Signature HealthCARE says

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Authorities have asserted that Signature HealthCARE billed Medicaid for $2 million in unapproved costs, but this was an oversimplification that presented the company in an unfair light, the large long-term care provider contends.

Hospitalist company with long-term care presence faces federal charges of upcoding

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A hospitalist company that works with thousands of post-acute care facilities is officially facing federal charges that its clinicians routinely overbilled Medicare and Medicaid, authorities announced Tuesday.

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.

When LTC leaders delegate accountability

When LTC leaders delegate accountability

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What happens when delegation without accountability takes place? We saw a good example last week, when the Office of Inspector General released a damning report about excessive Medicare charges from nursing homes.