Overflow crowd sees former American Senior Communities CEO get 9½ years for $19 million fraud, kickback schemesJuly 02, 2018
A U.S. District Court judge leaned closer to prosecuting attorneys' recommendations than defense attorneys' on Friday and sentenced former nursing home executive James Burkhart to 9½-years in prison before an overflow crowd in Indianapolis.
The Centers for Medicare & Medicaid Services should prioritize fingerprint-based criminal background checks and conduct site visits to high-risk providers to mitigate Medicaid fraud, a government watchdog official said Wednesday.
Once accused of defrauding Medicare of $14 million in false claims in a single year, a Florida hospice provider has agreed to pay $2.5 million to resolve the allegations.
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A pair of Congressional subcommittees focused on oversight have banded together to examine ways to reduce Medicaid fraud and waste.
An Illinois woman is suing a nursing home and two former employees for allegedly selling her house against her wishes — then paying her only $2,000 for it.
Previous controls have not done enough to reduce fraud and waste in connection to chiropractic care for Medicare patients, according to a review issued by a federal watchdog Friday.
The Centers for Medicare & Medicaid Services will share its best fraud prevention tactics used against nursing homes and other providers with the U.S. Department of Veterans Affairs, the agencies said Tuesday in announcing a joint effort to sniff out waste and abuse.
A Texas mayor and three others were indicted Wednesday for their alleged roles in a $150 million healthcare fraud and money laundering scheme, prosecutors said.
A former employee of a Pennsylvania pharmacy was sentenced to probation and community service on Tuesday for her role in a scheme to repackage drugs that went unused by area nursing homes.
Healthcare fraud policies may undergo changes following a recently announced review of prosecution methods by the Department of Justice, according to some observers.
A former biller for a Michigan nursing home has been charged with multiple fraud-related charges after authorities say she pocketed residents' cash payments to the facility.
Fox Rehabilitation received at least $29.9 million in Medicare Part B payments for services that did not meet Medicare requirements, according to an August report by the Office of the Inspector General of the U.S. Department of Health and Human Services.
The former CEO of a healthcare company caught billing Medicare for unnecessary podiatry services for nursing home residents was sentenced last week to serve a year in prison and pay $1.8 million in restitution.
Some necessary conversations tend to be awkward and uncomfortable. They include talking to our children about baby making. Or convincing our parents to give up the car keys. Or talking to government investigators about those astronomical therapy billings.
The owner of more than 30 Miami-area nursing homes and assisted living facilities has been charged with leading a national record $1 billion-plus Medicare fraud scheme.
The healthcare world currently ranks as the fourth most victimized industry when it comes to fraud, falling prey to roughly 6.6% of all fraud incidents. In the long-term care sector, experts recently shared, one area gets hit harder than others: resident trust funds.
The Kansas woman who authorities say worked with her husband to steal more than $1.2 million from an assisted living company has pleaded guilty to one federal count of mail fraud.
With Medicare and Medicaid costs soaring, federal and state agencies are looking at various avenues to rein in costs. Fraudulent billings from healthcare providers costs taxpayers millions of dollars each year and is an area of focus for government agencies.
A San Diego man will serve 2½ years in custody after being ordered to repay the government nearly $1 million for what prosecutors say were phony Medicare claims for medically unnecessary and unsupervised tests on unsuspecting seniors, the FBI reported.
A 44-year-old licensed speech therapist faces 10 years in prison and a $250,000 fine after admitting she and a colleague submitted $3.7 million in fraudulent insurance claims for services either unnecessary or not provided at all. It serves as another stark reminder that providers need to know how their contractors are conducting business.
A 31-year bookkeeper for a Wisconsin nursing home received a 2½-year prison sentence and was ordered to repay $296,000 for siphoning funds from residents' insurance proceeds in a decade-long spree.
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A New York hospice provider Wednesday agreed to pay approximately $6.5 million in fines to settle alleged false Medicare and Medicaid claims over a 16-month period.
Healthcare payments linked to the quality of care are causing challenges to existing fraud and abuse laws, a government official said Wednesday.
Authorities have arrested a nursing home psychiatrist and charged him with 52 counts of healthcare fraud, the U.S. Attorney for the Northern District of Texas announced Thursday.
The Medicare claims review process is unfairly burdening healthcare providers and failing to improve program integrity, due in part to the payment system for certain auditors, Senate leaders said during a roundtable hearing Wednesday.
A husband and wife have pleaded guilty to masterminding a sprawling drug diversion scheme that involved reselling nursing home medications, according to federal and state authorities.
Two investment brokers and their associates are facing charges that they stole nursing home residents' personal information to perpetrate annuities fraud, the U.S. Securities and Exchange Commission announced Thursday. A $4.5 million settlement has been reached with some of the parties.
A New York company that provided psychiatry services to nursing home residents with dementia has settled a whistleblower Medicare fraud case for $1 million.