Jason Edgecombe and Ted Lotchin McKnight's Long Term Care News

Jason Edgecombe and Ted Lotchin

Most recent articles by Jason Edgecombe and Ted Lotchin

Jason Edgecombe, Baker Donelson

‘Extrapolation’ demonstrates False Claims Act liability in rehab

Recent FCA complaints have relied on a number of arguments to substantiate the submission of false claims for Medicare reimbursement: systematic upcoding to higher RUG levels due to corporate “pressure” on front line care providers; targeting therapy at or around RUG thresholds; increasing therapy during “look back” periods; and providing skilled therapy that was not required for improvement in functioning.

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