Healthcare fraud rampant, but OIG refines its focus on nursing homes
By
Neville M. Bilimoria
Feb 19, 2024
For 2024, healthcare fraud has already been rampant, according to the U.S. Department of Health and Human Services Office of Inspector General. But on Jan. 19, the OIG took a specific stance with...
It’s time to let crime pay
By
Kimberly Marselas
Dec 13, 2022
If gung-ho prosecutors get a little more screen time around here while some of our usual sources close up shop for a couple weeks, don’t rush past. There are plenty of lessons to be learned.
Private equity in the crosshairs
By
Jonathan H. Ferry
Aug 20, 2021
Private equity investors in nursing homes should brace and prepare for an active near-term enforcement environment. Congressional skepticism of private equity involvement in healthcare, developments in...
It’s time for ‘the talk’ about healthcare fraud
By
John O'Connor
Aug 01, 2016
Some necessary conversations tend to be awkward and uncomfortable. They include talking to our children about baby making. Or convincing our parents to give up the car keys. Or talking to government investigators...
Tales you might never expect from the frontlines of fraud
By
Apr 26, 2016
The healthcare world currently ranks as the fourth most victimized industry when it comes to fraud, falling prey to roughly 6.6% of all fraud incidents. In the long-term care sector, experts recently shared,...
Avoiding fraud claims
By
Bruce Baron
Apr 17, 2015
With Medicare and Medicaid costs soaring, federal and state agencies are looking at various avenues to rein in costs. Fraudulent billings from healthcare providers costs taxpayers millions of dollars each...
Latest Medicare fraud allegations just an appetizer
By
John O'Connor
May 10, 2013
As we’ve been predicting here for some time, allegations of mismanaged therapy care are starting to land nursing homes in some seriously hot water.
Shamelessly invoice at your own risk
By
John O'Connor
Mar 22, 2013
Here’s the good news for providers: new analytics are making it possible to understand and bill your care in ways that would have been impossible just a few years ago. Here’s the bad news:...
Fraud-fighting efforts not much to brag about
By
John O'Connor
Nov 30, 2012
In what has become a frequent event, the Inspector General at the Department of Health and Human Services has just issued yet another report that crows about heroic fraud-fighting efforts.