Provider sues agency for routine overbilling, unscrupulous practices that led to $5M bill
By
Kimberly Marselas
Mar 21, 2024
A multi-facility skilled nursing operator has filed a lawsuit against the staffing platform Nursa, alleging the app-based agency routinely overbilled for staff that failed to show up for shifts and refused...
PA nursing home settles overbilling lawsuit for $819,000
By
John Hall
Aug 03, 2022
A Pennsylvania nonprofit nursing home in the process of being sold has agreed to settle a whistleblower lawsuit alleging it overbilled the government $819,000 for physical therapy services.
Eye doctor to pay $1 million to settle allegations of overbilling in SNFs
By
Sep 02, 2016
A Florida ophthalmologist has agreed to pay $1 million to settle claims that she overbilled Medicare for eye care services provided in skilled nursing and assisted living facilities, officials announced...
Alleged $250 million overbilling charges in hospices disputed , experts say
By
Elizabeth Newman
Apr 07, 2016
A recent HHS Office of Inspector General report calling out hospices for billing $250 million inappropriately in 2012 doesn’t tell the whole story, an attorney said this week.
HHS calls for therapy overbilling crackdown
By
Oct 01, 2015
The Medicare payment system for skilled nursing facilities needs to be re-evaluated to weed out exploitative providers, a new report from the Department of Health and Human Services Office of Inspector...
Nursing home podiatrist admits overbilling ‘thousands’ of times after clipping toenails
By
Tim Mullaney
Jan 16, 2015
A Missouri podiatrist has agreed to pay nearly $1 million for repeatedly billing for more complex services after clipping nursing home residents’ toenails, federal authorities recently announced....
Political pressure impedes some nursing home overbilling investigations, WSJ claims
By
Tim Mullaney
Dec 15, 2014
Pressure from politicians sometimes undermines efforts to stop overbilling by keeping Medicare and Medicaid payments flowing to nursing homes under investigation, The Wall Street Journal claimed in an...
NV hospice, Skilled Healthcare face government false claims lawsuit over alleged overbilling
By
Tim Mullaney
Dec 01, 2014
Skilled Healthcare Group and a Nevada hospice that it operates have been charged with submitting “tens of millions of dollars” in false Medicare and Medicaid claims, the U.S. Department of...
Rehab firm’s overbilling will cost provider $1 million-plus
By
James M. Berklan
Nov 01, 2014
The fallout from a recent spike in rehabilitation charges to government payers continued to make headlines in September. This time, a nursing home company was blamed for insufficient oversight of its contract...
Medicaid overbilling allegations were ‘inaccurate’ and ‘misleading,’ Signature...
By
Tim Mullaney
Jul 09, 2014
Authorities have asserted that Signature HealthCARE billed Medicaid for $2 million in unapproved costs, but this was an oversimplification that presented the company in an unfair light, the large long-term...