Stricter audits may be on the horizon from the OIG
By
Norris Cunningham
Kennedy Bunch
Devin Zimmerman
Jan 11, 2023
Long-term care facilities and providers should brace themselves for what may be an uptick in enforcement activity from Medicaid Fraud Control Units (MFCUs) in the coming year. In 2023, the U.S. Department...
3 years for home health owner who inflated hours and claimed to care for SNF residents and the dead in...
By
Kimberly Marselas
Apr 30, 2018
A former home health company owner accused of defrauding Medicaid and the Internal Revenue Service out of more than $2 million was sentenced Thursday to three years in prison.
Hidden cameras result in criminal charges against Ohio nursing home owner, including substandard care...
By
Tim Mullaney
Jun 30, 2014
Hidden cameras placed inside an Ohio nursing home have led to 39 criminal charges, state officials have announced.
Medicaid fraud units recovered $10 million from nursing homes in 2013, annual report shows
By
Tim Mullaney
Mar 11, 2014
Medicaid Fraud Control Units recovered about $10.3 million from nursing facilities in fiscal year 2013, according to an annual report issued Friday. Civil fraud settlements and judgments accounted for...
Franken reintroduces bill to facilitate rides from nursing homes to medical appointments
By
Tim Mullaney
Jan 22, 2014
More Medicaid dollars would flow to volunteers who drive nursing home residents to medical appointments under a bill recently reintroduced by Sen. Al Franken (D-MN). Seniors living in rural parts of Minnesota...
Nursing home operator to repay $1 million in Medicaid fraud case
By
Tim Mullaney
Jul 19, 2013
A South Carolina man will pay $1 million in restitution for his role in a nursing home Medicaid fraud scheme, the state’s attorney general announced Thursday.
State news
Mar 02, 2013
Virginia — State Sen. Bill Stanley (R) has introduced a bill requiring that nursing homes, assisted living facilities and other certified nursing facilities obtain minimum levels of insurance. If SB70...
New database makes it easy to see how states are combating Medicaid fraud and abuse
By
McKnight's Staff
Feb 01, 2013
A newly unveiled database created by the Pew Charitable Trusts provides comprehensive information about states’ strategies for combating Medicaid fraud and abuse.
Women who ran nursing homes face charges of $2.75 million Medicaid fraud
By
McKnight's Staff
Jan 30, 2013
In the latest example of reimbursement fraud in Florida, authorities arrested the leaders of a nursing home management company Tuesday for allegedly defrauding Medicaid of more than $2.75 million.
Senators: Recovery audit contractors might be doubling up tasks; campaign against fraud gears up
By
McKnight's Staff
May 03, 2012
Members of the Senate Finance Committee say they are concerned that the functions completed by independent contractors — known as recovery audit contractors (RACs) and Zone Program Integrity Contractors...