Category: Medicare

Siphoning to Related Entities is Fraud

The Times Union reported another fraud case. Contained in that lawsuit are multiple allegations that owner/operator Rozenberg and Hagler submitted misleading or false information to Department of Health regulators related to funding and ownership structures for some of their nursing homes. They ignored and violated laws meant to protect nursing home residents and they pocketed

False Claims Settlement

The Department of Justice settled another nursing home fraud case. The United States and the State of California have reached a $7,084,000 civil settlement with ReNew Health Group LLC, ReNew Health Consulting Services LLC and two corporate executives for knowingly submitting false Medicare Part A claims for nursing home residents. This investigation was prompted by a

Lives Lost

Nationally, many nursing homes are owned by groups of out-of-state and unknown investors who have formed limited liability corporations to avoid accountability and operate each of their facilities. The facility owners are affiliated with other for-profit vendors that sell their services — such as management, staffing and resident therapy — to the nursing homes. Such

Resident Assessment Instrument

The Centers for Medicare & Medicaid Services released the final version of the new Resident Assessment Instrument manual to complete the necessary reform of the Minimum Data Set (MDS) nursing home resident assessment tool before the Oct. 1 implementation. This tool determines the level of acuity of individual residents and as a facility aggregate. The “Final”

Whistleblower Exposes Kickbacks

McKnight’s reported another settlement involving a kickback scheme.  Alta Vista Healthcare & Wellness Centre nursing home run by the infamous Shlomo Rechnitz, the largest nursing home owner in California. He agreed to pay $3.8 million to settle kickback allegations and violations of the False Claims Act. A press release stated Alta Vista also paid physicians

$15 Million Awarded in Highway Collision

$42 Million Given Back for over 8,000 Investors

$1.05 Million Largest Nursing Home Jury Award in Spartanburg History

$2.32 Million in “Unprecedented” Jury Award Against Nuisance Landfill

$42 Million Given Back for over 8,000 Investors

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