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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Nursing Home Bookkeeper Admits To Stealing Money From Facility
Sadly, at a time when many are feeling severe financial strain, some nursing home operators and employees are turning to another source of potential income-- stealing state and federal funds intended for nursing home patients. The most recent case of stealing or Medicare fraud-- which is essentially what most of these cases come down to because that is where most funds derive-- comes from Missouri. Connie Jean Beckerman, the former bookkeeper at Perryville Nursing and Rehabilitation Center, pleaded guilty to: forgery, stealing by deceit, and abuse of a person receiving health care-- all felonies. The criminal acts were perpetuated between...
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If I Work In A Nursing Home Where I Suspect Fraud, Can I File A Qui Tam or Whistleblower Lawsuit?
Yes. Under the Federal Civil False Claims Act (31 U.S.C., Section 3729), private citizens act on behalf of the Federal or State Government to bring an action against government contractors or any company who acts fraudulently with government funds. Under the False Claims Act, a qui tam lawsuit entitles individuals employed by the entity guilty of fraud to bring a lawsuit for fraud-related damages against the offending company. Fraud Is Rampant In The Nursing Home Industry Many nursing homes and medical service providers have turned to illegal practices to boost their bottom line. By some accounts, up to 10% of...
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Medicare Fraud Unit To Investigate Illinois Nursing Home
The U.S. Department of Health and Human Services has sent Medicare and Medicaid investigators to the Champaign County Nursing Home late last week. The investigation was prompted by an anonymous complaint. While the nature of the complaint remains unknown, Medicaid fraud investigators look into provider fraud and patient abuse and neglect. The Champaign County Nursing Home has been in the headlines recently when State of Illinois investigators found multiple deficiencies. The deficiencies put a stop to Medicare / Medicaid reimbursements for new patients until the problems could be corrected. Read more about this investigation of Medicare fraud here. State records...
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