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Nursing Homes Abuse Blog By Jonathan Rosenfeld

Tag Archives: medicaid fraud

Medicaid Fraud Costs Nursing Home More Than $375k

Posted in Whistleblower / Qui Tam Claims

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… Continue Reading

Nursing Home Bookkeeper Admits To Stealing Money From Facility

Posted in Nursing Home Staff, Whistleblower / Qui Tam Claims

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… Continue Reading

If I Work In A Nursing Home Where I Suspect Fraud, Can I File A Qui Tam or Whistleblower Lawsuit?

Posted in Medicare, Nursing Home Staff, Whistleblower / Qui Tam Claims

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… Continue Reading

Medicare Fraud Unit To Investigate Illinois Nursing Home

Posted in Illinois Nursing Homes

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… Continue Reading

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