Medicare And Medicaid

Now is the opportunity for providers, policymakers and other stakeholders to aggressively reform the long-term services and supports system after its underlying weaknesses were exposed under pandemic conditions,...

Authorities have arrested a nursing home psychiatrist and charged him with 52 counts of healthcare fraud, the U.S. Attorney for the Northern District of Texas announced Thursday.

The government plans to start a “computer matching program” to reduce improper payments from government health programs to providers and other entities, the Centers for Medicare & Medicaid...

If there’s a prevailing theme around the hours American Health Care Association senior fellow Elise Smith keeps, it’s that they are constant.

A hospitalist company that works with thousands of facilities is facing federal charges that its clinicians routinely overbilled Medicare and Medicaid, authorities recently announced.

Elderly, frail people are more likely to be hospitalized if they are receiving home- or community-based services than if they live in a nursing home, according to newly published research. Recent Medicaid...

A whistleblower exposed disturbing drug packaging practices being used by long-term care pharmacy Omnicare Inc., but the charges don’t fall under the False Claims Act, a federal appeals court recently...

The federal government has joined in a whistleblower lawsuit alleging that a large hospitalist company engaged in systematic “upcoding” of Medicare and Medicaid claims.

An Illinois-based hospice provider overbilled Medicare and Medicaid by inappropriately designating nursing home residents as hospice patients, sometimes for years, according to federal charges announced...

Two nursing home therapy providers and a nursing home management company have agreed to pay $30 million to settle claims that they engaged in a kickback scheme, the U.S. Department of Justice has announced.