Preferred Care settles for $540,000 in whistleblower upcoding case
Nursing home chain Preferred Care agreed to settle False Claims Act charges for $540,000, the Department of Justice has announced.
Department Of Justice
Former Florida health official sentenced for leaking ‘surprise’ inspection info for cash
A 30-year employee of the state’s Agency for Health Care Administration took bribes in exchange for providing confidential information about survey dates, prosecutors say.
HCR ManorCare ‘vindicated’ as DOJ announces plan to drop lawsuit
The Department of Justice on Wednesday filed a motion to drop a False Claims Act lawsuit it had joined against HCR ManorCare in 2015.
Judge orders DOJ to pay legal fees for HCR ManorCare in rehab claims case
The Department of Justice will have to pay HCR ManorCare legal fees after a judge slammed its handling of a whistleblower case against the provider.
DOJ joins Omnicare lawsuit over alleged Abbott Depakote kickbacks
The Justice Department has filed a False Claims Act complaint against Omnicare Inc., alleging the pharmaceutical giant received millions in kickbacks from Abbott Laboratories over a 10-year period.
$1.3 million settlement marks second recent deal over SNF supervision of therapy providers
A Maryland nursing home company has agreed to a $1.3 million settlement over charges that it did not prevent overbilling by its contracted therapy provider, federal authorities announced Monday. This is the second such settlement this month involving therapy company RehabCare Group East Inc.
Latest therapy-billing showdown could be ominous sign for long-term care providers
Don’t let anyone tell you that long-term care operators don’t know how to read between the lines. They might not have known to fear a McKnight’s Monday news item before it broke, but it definitely has their attention — and apprehension — now.
DOJ forces observation stay showdown
Hospitals have been cast in a harsh light by long-term care advocates recently for allegedly over-using “observation stay” status. The practice can ultimately deny some patients subsequent Medicare coverage for nursing home admission.
Largest US hospital chain to pay $98 million in observation stay case
The nation’s largest hospital organization has agreed to a $98 million settlement to resolve charges that it overbilled by admitting individuals as inpatients rather than keeping them under observation, the Department of Justice announced Monday.
Provider networks: Too big to succeed?
At this point, you’re well aware that the Affordable Care Act is putting pressure on post-acute providers to partner with hospitals and physician groups. A recent whistleblower case in California highlights just how important this systemic transformation is — but another legal battle making headlines underscores how difficult it might be to “right size” the U.S. healthcare system.
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