Category: Regulatory enforcement

False Claims Act

The Department of Justice published a press release confirming another False Claims Act settlement. This one involved Lopez Scott who operated Turning Points Residential Care facility. The Court sentenced Scott to two years in prison for defrauding the Virginia Medicaid program. He submitted over $188,000 in false claims. Raj Parekh is the Acting U.S. Attorney

Penalties = Deterrence

National Center for Seniors Housing & Care released a new analysis showing CMS collects more money for penalties. The per-incident penalties increased more than eight-fold from 2016 to 2020, prior to the pandemic. CMS increased collection of per-incident penalties after updating the federal safety guidelines in 2017. The agency collected less than $5 million in total per-incident

Enforcement

Attorney General Maura Healey announced a $90,000 settlement with Milton HC Operating, LLC to resolve neglect allegations, resulting in death.  Milton must pay $90,000 to the Long-Term Care Facility Quality Improvement Fund. The Department of Public Health uses the Fund to improve the safety and quality of care provided in long-term care facilities. The settlement

CMS Waivers and Raises

Waivers The federal government granted several waivers designed to free up hospital beds and provide uninterrupted care to seniors during the pandemic. CMS suspended improper payment-related activities between March and August 2020. It’s unclear yet how much audit activity and improper payment findings were curtailed over the last calendar year. The agency also adjusted how

Brookdale Senior Living

Dumping and Falsifying Prosecutors in California recently brought suit against Brookdale Senior Living, Inc., the largest senior living facility operator in the United States. Brookdale gave false information to inflate their quality ratings according to California attorney general Xavier Becerra. The lawsuit against Brookdale Senior Living claims that the operator falsified staffing records in order to

CMS Sanctions Neglect

Becker’s Hospital CFO Report stated that CMS will cut Medicare payments to 774 hospitals in 2021.  These hospitals had the highest rates of avoidable/preventable injuries and infections. Five things to know: 1. The Hospital-Acquired Conditions Reduction Program prevents harm to patients by providing a financial incentive for hospitals to prevent hospital-acquired conditions. A hospital’s total score

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