False Claims Act

A federal judge has dismissed False Claims allegations against eight skilled nursing facilities and their therapy partner, saying a would-be whistleblower didn’t offer enough detail to explain how a...

Nursing homes looking to protect themselves from False Claim Act investigations should maintain at least a 3-star rating and ensure they don’t delay discharges to get extra reimbursement, a panel...

A Medicare Advantage plan will pay $22.5 million to settle allegations that it systematically reviewed patient charts to tack on additional charges before submitting claims to Medicare, federal law enforcement...

A laboratory owner preyed on nursing home clients to bilk Medicare out of at least $7 million in claims for early COVID-era tests that were unnecessary and, in some cases, never performed, the government...

Supreme Court expected to clarify ‘ambiguous’ False Claims standard  …  Most older patients embrace move toward deprescribing, poll finds … Facility’s careful monitoring results in opioid diversion...

Payment and quality experts on Wednesday described extensive changes proposed for skilled nursing’s value-based purchasing program as “long overdue” and a way to “reset the playing field.”

Legal experts said the long-term care industry should be warned that the Department of Justice’s aggressive pursuit of False Claims Act cases will likely continue. 

The Supreme Court will hear arguments Tuesday from federal lawyers seeking to dismiss more False Claims allegations in which the government chooses not to intervene, a move that would likely reduce the...

A $105 million federal lawsuit filed last week — one possibly on its way to a quick dismissal — shows the growing threats nursing home operators face in accounting for their right to collect and spend...

After several Provider Relief Reporting periods, the government is holding true to its word and ramping up audit and investigation activities.