To say the feds are keeping a closer eye on you is probably a bit of an understatement.
False Claims notch a record year, increasing threat to skilled nursing
By
Kimberly Marselas
Feb 26, 2024
Healthcare providers were forced to pay a historic $2.7 billion to resolve federal False Claims Act allegations last year, an escalation that will likely allow the government to support even more investigations...
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...
The witch hunt is on, good nursing homes be damned
By
Kimberly Marselas
Mar 07, 2024
The threat, to both “bad actors” and well-meaning providers who get caught up in the rush to accuse, is only going to grow if the government has its way.
‘Grossly substandard’ care leads to False Claims charges for Ohio-based nursing home operator
By
Kimberly Marselas
Jun 16, 2022
The Justice Department late Wednesday announced it has sued three connected nursing homes in Ohio and Pennsylvania, citing their “grossly substandard skilled nursing services.”
Court orders attorney to pay nursing home legal fees in ‘frivolous’ False Claims case
By
Kimberly Marselas
Feb 07, 2024
An attorney who brought a False Claims case against a Mississippi long-term care provider using publicly available — and later disproven — information must pay the facility’s legal fees, a court...
Healthcare fraud rampant, but OIG refines its focus on nursing homes
By
Neville M. Bilimoria
Feb 19, 2024
For 2024, healthcare fraud has already been rampant, according to the U.S. Department of Health and Human Services Office of Inspector General. But on Jan. 19, the OIG took a specific stance with...
When False Claims cases ring … false
By
James M. Berklan
Sep 21, 2023
To much of the rooting US public, the False Claims Act is a heroic piece of legislation that guards the “little guy” against big, bad corporations.
False Claims Act suit could affect CMS overpayment rule
By
John Hall
Mar 30, 2015
A complex argument over how to identify Medicaid overpayments could be why the Centers for Medicare & Medicaid Services postponed its pending rule on waiting periods for overpayment resolution, a Washington,...
Supreme Court grapples with concept of ‘implied’ False Claims case
By
Apr 21, 2016
The nation’s highest court struggled Tuesday during oral arguments in a controversial False Claims Act case to determine at what point a false claim truly is “false.”