Home Healthcare Fraud Results In Groundbreaking False Claims Act Settlement
An emerging trend in the healthcare industry is the development of home-based services for people who wish to live independently or whom may be unable to get to appointments out of the home. In addition to the independence home-based services offer patients, they are also promoted as a cost saving alternative to traditional nursing homes and other types of long-term care facilities--- or so we thought. Eager to gain a foothold in this emerging area, some home health care companies are eager to cater to every need of homebound patients—and sometimes even more. In one of the largest home care...
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Medicaid Fraud Costs Nursing Home More Than $375k
American Senior Communities has agreed to pay $376,432 under the terms of a settlement reached with Indiana Attorney General Greg Zoeller after it was discovered the company was engaging in Medicaid fraud. The alleged fraud involved American Senior Communities submitting claims to Medicaid (a state program) on behalf of seven employees who were ineligible to participate in the Medicaid program due to their criminal histories. Federal law prohibits any health care providers from participating in the Medicaid or Medicare programs. In addition to the significant fine, the company has also agreed to implement procedures to prevent these errors from occurring...
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When The Going Gets Tough, Some Nursing Homes Turn To Medicare & Medicaid Fraud
When it comes to boosting their bottom line, some nursing homes will stop at nothing-- including stealing from taxpayers. Because many nursing home patients are elderly or too frail to verify all the charges a nursing home submits to Medicare on their behalf, it is relatively easy for nursing homes to add extra charges for medical care and therapy without raising any eyebrows. As taxpayers, we all should applaud situations when regulatory agencies are able to uncover fraud relating to Medicare and Medicaid. In this sense, I was happy to hear about the an investigation conducted by federal authorities and...
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