‘Parasite’ Esformes convicted in $1.3B nursing home fraud, could face remaining years in prison
By
Marty Stempniak
Apr 08, 2019
Florida long-term care business mogul Philip Esformes faces the possibility of decades in prison after being convicted Friday in the largest healthcare fraud scheme ever charged by the U.S. Justice Department.
Former hospital director, physician’s assistant plead guilty in $1 billion Esformes fraud case
By
Marty Stempniak
Jan 24, 2019
Two major players in a billion-dollar nursing home-related fraud case have pled guilty and could face years in prison.
Also in the News for Monday, March 5
Mar 05, 2018
Police: Nurse shows up on day off to steal Fentanyl patches — off residents’ bodies … New intake system erasing Minnesota’s backlog of 3,000-plus elder abuse reports … Owner of...
Long-term care providers would receive more education from auditors under draft Medicare bill
By
Tim Mullaney
Aug 11, 2014
Medicare auditors would boost outreach and education efforts to long-term care and other providers under the provisions of a draft bill introduced Thursday by Rep. Kevin Brady (R-TX), chairman of the Ways...
Congressional lawmakers grill top ALJ on appeals backlog, say too many providers are being put out of...
By
Tim Mullaney
Jul 11, 2014
Efforts to root out Medicare fraud have put far too many above-board providers in auditors’ crosshairs, leading to a staggering backlog of appeals that has no easy fix, Congressional lawmakers and...
CMS improperly measuring outcomes, report claims
By
James M. Berklan
Jan 01, 2014
So far, some providers have been put through a wringer without enough verification that it’s been worth it, according to a new Government Accountability Office report.
CMS fails to measure outcomes of the zone program integrity contractor program: government report
By
Tim Mullaney
Nov 26, 2013
The Centers for Medicare & Medicaid Services is not thoroughly assessing how well zone program integrity contractors are contributing to Medicare anti-fraud efforts, according to a new report from the...
Judge dismisses claims of ‘nationwide’ Medicare fraud in Omnicare antipsychotics case
By
McKnight's Staff
May 23, 2013
Long-term care pharmacy Omnicare will not face charges that it engaged in “nationwide” Medicare fraud for off-label antipsychotics prescriptions, a federal judge recently ruled. However, the...
Life Care Centers of America denies massive Medicare fraud charges; judge criticizes feds in secret whistleblower...
By
McKnight's Staff
Dec 05, 2012
A U.S. District Judge has called federal prosecutors’ years-long delay in announcing a Medicare fraud case involving one of the nation’s largest nursing home companies “absurd.”
OIG: Volunteer Medicare fraud patrols had declining recovery in 2011
By
McKnight's Staff
Jun 26, 2012
The success rate of Medicare’s volunteer force of fraud-detecting beneficiaries is declining, a government report finds.