Feds: 8 bilked system for $150M, took nursing home residents’ genetic matter
Aug 09, 2022
Federal authorities indicted eight business people in a sweeping case of alleged Medicare and Medicaid fraud involving a genetic testing firm and three marketing companies.
Could everything be a kickback?
Dec 15, 2021
The U.S. District Court for the Middle District of Tennessee recently issued a number of rulings interpreting the federal False Claims Act (FCA) and its state law counterparts relevant to long-term care...
The pandemic doesn’t mean you can sleep on anti-kickback law compliance
Neville M. Bilimoria
Sep 22, 2021
On September 8, 2021, the Department of Justice, in connection with the Office of Inspector General, announced a settlement of $17 million against a home health agency that purchased two home health agencies...
Nursing home residents targeted in $86M Medicare lab fraud scheme: DOJ
Jul 09, 2021
Nursing homes and their residents were targeted in an alleged $86 million Medicare fraud scheme orchestrated by the owner of a Tennessee-based lab, federal authorities say.
Judge denies appeal by Burkhart, former American Senior Communities CEO serving 10 years for audacious...
May 18, 2021
A federal judge has denied a motion by former American Senior Communities CEO James Burkhart to throw out his felony fraud convictions, ruling that his law firm’s conflict of interest did not adversely...
The risks of ‘swapping’ for durable medical equipment
Japa Volchok, D.O.
Apr 14, 2021
Skilled nursing facilities are to assume the cost of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) under a bundled payment methodology for residents in Medicare Part A covered...
Senior living company can pay referral fees for new residents despite kickback concerns, OIG advisory...
Jan 23, 2014
A nonprofit senior housing and care provider can continue to pay an agency for referring new residents, despite concerns related to anti-kickback laws, according to a newly released government opinion.
Who’s buying your loyalty?
Jan 23, 2014
While the story of former Gov. McDonnell and his wife’s alleged excess may make us shake our heads, it did remind me of the slippery slope many in business or politics can fall down when it comes...
Nursing home hospice doctor faces up to 25 years in jail after kickback conviction
Jun 05, 2013
A federal jury recently convicted a Philadelphia physician of receiving kickbacks from a hospice provider in exchange for referring Medicare and Medicaid patients. Eugene Goldman, M.D., will be sentenced...
Anti-kickback provision could threaten innocent providers
Apr 03, 2013
A provision of the Affordable Care Act on kickbacks could snare innocent providers, panelists said at a recent American Health Lawyers Association conference. The new law considers any Medicare claim resulting...