Hospice Provider Good Shepherd Settles False Claims Act Suit with DOJ

Two former employees of Good Shepherd, Inc. (a hospice provider that bills Medicare) filed suit under the Qui Tam/Whistleblower provisions of the False Claims Act. The U.S. Government alleged in the suit that Good Shepherd hospice provider knowingly submitted or caused submission of false claims for hospice care for patients who were not terminally ill.…

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Nursing Home Chain Has Agreed to Settle for $38 Million with the DOJ

One of the largest nursing home chains, Extendicare Health Services, has reached a settlement with the Department of Justice following an investigation that identified many disturbing instances of substandard care including: falls, fractures, head injuries to residents, malnutrition, pressure sores and infections. In addition, the investigation found that Extendicare facilities admitted very sick residents without…

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Insurance Companies May Have Financial Reasons to Dump Patients on Hospice

There is a recent trend developing in hospice care for those covered under the Medicare Advantage Plans. For those unfamiliar with Medicare Advantage plans, they are plans where Medicare-eligible persons receive coverage from a private health insurer through Medicare. They generally have lower premiums than Medicare Supplement plans (also known as Medicare “Part B” Plans),…

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$6.5 Million Settlement for Medicaid Fraud At Adult Care Facility

An investigation, which included several undercover visits by a healthy and vibrant senior working on behalf of the New York Attorney General’s Office, revealed that an adult day health care facility was not providing services as represented in claims for payments to the federal government. The covert portion of the investigation captured on video two…

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Ensign Group Buys More California Nursing Homes

Ensign Group, a parent company that owns skilled nursing facilities, rehabilitation care facilities, home healthcare, hospice and assisted living facilities throughout California and other states, announced that it has agreed to purchase Keiro Senior Health Care’s nursing homes and assisted living facilities. This purchase will increase Ensign’s market share in the senior care industry. Ensign…

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