Whistleblowers add to nursing home COVID relief burdens
Oct 31, 2022
A $105 million federal lawsuit filed last week — one possibly on its way to a quick dismissal — shows the growing threats nursing home operators face in accounting for their right to collect and spend...
Investigations into healthcare COVID relief heat up
Oct 21, 2022
After several Provider Relief Reporting periods, the government is holding true to its word and ramping up audit and investigation activities.
‘Continued chaos’ after SCOTUS declines to hear nursing home-related case, expert says
James M. Berklan
Oct 18, 2022
either healthcare defendants nor the plaintiffs’ bar fully received what they wanted Monday, when the Supreme Court declined to consider petitions for three cases that could have led to stricter standards...
PA nursing home settles overbilling lawsuit for $819,000
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.
‘Grossly substandard’ care leads to False Claims charges for Ohio-based nursing home operator
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.”
To control private equity, legal experts suggest government sharpen existing tools
Mar 25, 2022
While the Biden administration is targeting private equity firms that invest in nursing homes for reforms, two attorneys well-versed in fraud argue that existing mechanisms could deter private equity from...
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...
Approved: Consulate Health Care to pay just $4.5 million of $258 million judgment in inherited upcoding...
Sep 30, 2021
A U.S. Bankruptcy Court in Delaware has approved a settlement between Florida-based nursing home chain Consulate Health Care and the Department of Justice that reduced a $258 million judgment against the...
Consulate Health Care could pay just $4.5 million after reduced $258 million judgment in therapy upcoding...
Sep 15, 2021
Florida-based nursing home chain Consulate Health Care has reached a tentative settlement with the Department of Justice after six of its affiliated nursing homes filed for Chapter 11 bankruptcy following...
Rehab firm will pay $2M to resolve False Claims Act allegations involving 11 nursing homes
Jul 26, 2021
A California-based therapy company has agreed to pay $2 million to quash allegations that it overbilled for rehab services provided at 11 skilled nursing facilities.