Whistleblowers get another chance to fine-tune 8-year-old allegations against Genesis
By
Kimberly Marselas
Apr 19, 2024
More than eight years after first alleging False Claims Act violations against Genesis Healthcare and Sun Healthcare, a group of whistleblowers was given more time to refine its case.
Taking a hard line
By
Kimberly Marselas
Apr 12, 2024
Healthcare providers were forced to pay nearly $2 billion to resolve federal False Claims Act allegations last year, a historic amount that serves as one of several fresh indicators that federal investigations...
Former nursing home CEO gets 2.5 years, must pay $11 million restitution for neglecting payroll taxes
By
Josh Henreckson
Apr 09, 2024
The former CEO of a healthcare administrative services company was sentenced Friday to 30 months in prison followed by two years of supervised release for failing to pay more than $10 million in payroll...
‘Whistleblower’ owes landmark $1.1M to nursing home for groundless False Claims case
By
Kimberly Marselas
Mar 20, 2024
A judge has awarded a landmark $1.1 million in attorney fees to a nursing home targeted in a False Claims case found “frivolous” for its reliance on publicly available and false information.
Judge finds evidence is worthless in massive False Claims suit alleging worthless nursing home services
By
Kimberly Marselas
Mar 13, 2024
A federal judge this week tossed a nearly decade-old False Claims case that targeted what was once the nation’s largest nursing home chain, writing that the lawsuit was grossly short on evidence.
Court again strips CareOne of right to sue unions for ‘extortion,’ ‘defamation’
By
Kimberly Marselas
Apr 02, 2024
A case involving ugly contract negotiations, allegations of vandalism and self-sabotage, and the possible defamation of a major nursing home chain by union representatives, has been partially dismissed...
Consulate Healthcare CEO: We’re ‘growing our own’ to rebuild the brand
By
Kimberly Marselas
Mar 19, 2024
After virtually exiting Florida, where it dominated the skilled nursing landscape before a series of regulatory and legal challenges, Consulate Healthcare is repositioning itself as a quality provider...
Humana seeks dismissal of lawsuit alleging AI use to determine LTC denials
By
Kimberly Marselas
Mar 25, 2024
Humana has asked a federal court to dismiss a class action lawsuit alleging the Medicare Advantage insurer made coverage determinations using artificial intelligence over medical review.
Providers increasingly on the hook for employees’ drug thefts
By
Kimberly Marselas
Mar 04, 2024
Violations of the Controlled Substance Act — including staff who divert patient medications for themselves — may open providers up to additional False Claims Act liability, warn a group of attorneys...
Might want to double check those billings
By
John O'Connor
Feb 26, 2024
To say the feds are keeping a closer eye on you is probably a bit of an understatement.