Court: Provider must face federal upcoding charges
By
John Hall
Feb 24, 2015
A federal judge has ruled that a hospitalist company with thousands of post-acute care customers must face federal charges that it overbilled the Medicare and Medicaid programs millions of dollars.
Hospice pays $6.5 million fine to settle fraud case
By
John Hall
Feb 20, 2015
A New York hospice provider Wednesday agreed to pay approximately $6.5 million in fines to settle alleged false Medicare and Medicaid claims over a 16-month period.
Also in the news for Tuesday, February 10
Feb 10, 2015
Hospice company settles False Claims Act allegations for $4 million … Colorado says no to right-to-die legislation … NYT examines Obamacare’s issue for GOP … PA recovers $1.8 million...
NJ physicians to face charges that they kept people as inpatients to qualify them for SNF coverage, judge...
By
Tim Mullaney
Sep 03, 2014
A whistleblower can continue to pursue charges that a number of New Jersey physicians improperly designated Medicare beneficiaries as inpatients and sometimes prolonged their hospital stay to qualify them...
$9 million verdict against nursing home thrown out by appeals court
By
Elizabeth Newman
Aug 26, 2014
An Illinois nursing home won a victory last week when the U.S. Court of Appeals for the Seventh Circuit voided a $9 million verdict.
Revisions to False Claims Act urged by former deputy AG
By
Stephanie H. Kim
Aug 01, 2014
A panel of witnesses debated the merits of the False Claims Act before a Judiciary subcommittee meeting Wednesday, with one former attorney general arguing current policy provokes unfair litigation and...
Nursing home cannot use Medicaid payment structure to evade ‘worthless services’ charges,...
By
Tim Mullaney
Jul 17, 2014
A nursing home cannot cite Medicare and Medicaid payment methods to escape charges that it provided “worthless services,” a federal judge recently ruled in a False Claims Act case.
Also in the news for June 26, 2014 . . .
Jun 26, 2014
Fraud prevention system doubled its improper Medicare payment collections … Healthcare groups ask Supreme Court to declare False Claims Act penalty system unconstitutional … New LTC administrator...
Hospitalist company with long-term care presence faces federal charges of upcoding
By
Tim Mullaney
Jun 18, 2014
A hospitalist company that works with thousands of post-acute care facilities is officially facing federal charges that its clinicians routinely overbilled Medicare and Medicaid, authorities announced...
Charges that Omnicare disguised nursing home kickbacks as charitable contributions can proceed, federal...
By
Tim Mullaney
Apr 22, 2014
A whistleblower can keep pursuing his allegations that long-term care pharmacy Omnicare funneled payments to nursing home owners through so-called charitable donations, U.S. District Court Judge Robert...