Illinois SNF operator vindicated as whistleblower suit falls short
By
John Hall
Aug 23, 2022
Heritage Operations Group has been vindicated in a whistleblower claim filed by a former Omnicare pharmacist who alleged the Illinois-based nursing home operator violated the False Claims Act by improperly...
Federal enforcement settlements with providers doubled as courts reopened
By
Kimberly Marselas
Jul 11, 2022
The federal government won $5 billion in healthcare fraud judgments last fiscal year, a staggering increase after a COVID lull.
Vanguard Healthcare will pay $18M to settle False Claims Act allegations
By
Marty Stempniak
Feb 28, 2019
A Tennessee-based skilled nursing company has agreed to pay about $18 million to settle claims that it violated the False Claims Act by billing for “grossly substandard” nursing home services.
Hospice provider to pay record-setting $75 million false claims settlement
By
Nov 01, 2017
The nation’s largest for-profit hospice provider and its parent company have agreed to pay $75 million to settle allegations that it submitted false Medicare claims for hospice services, authorities...
Therapy providers agree to $8.4M settlement for upcoding allegations
By
Danielle Brown
Jul 06, 2021
Two therapy providers will pay a total of $8.4 million after being accused of providing unnecessary services at skilled nursing facilities in order to increase their Medicare reimbursements.
Rising focus on False Claims puts skilled nursing providers in crosshairs, attorneys warn
By
Jessica R. Towhey
Aug 09, 2023
Nursing homes looking to protect themselves from False Claim Act investigations should maintain at least a 3-star rating and ensure they don’t delay discharges to get extra reimbursement, a panel...
False Claims Act developments for providers
By
Jason Edgecombe and Ted Lotchin
Jul 01, 2015
FCA cases are most often initiatied by whistleblowers. This is part one of a four-part series.
Saber to pay $10M False Claims settlement, denies therapy upcoding
By
Danielle Brown
Apr 15, 2020
A skilled nursing operator accused of pressuring some therapists and managers to place all patients in the highest rehab payment classification, regardless of clinical needs, is settling federal fraud...
New attorney general, Justice policies could take steam out of False Claims Act cases
By
Marty Stempniak
Feb 20, 2019
A new attorney general at the helm, plus possible policy changes on the horizon, could spell a slowdown in fraud accusations against providers.
Hospice accused of treating ineligible patients agrees to $1.2M False Claims settlement
By
Kimberly Marselas
Feb 12, 2018
A for-profit hospice company and its owner agreed to pay $1.2 million to resolve allegations that the company fraudulently billed Medicare and Medicaid for hospice services.