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Georgia Nursing Home Settles to Resolve Allegations of False Claims for Therapy Services

Healthcare Compliance Blog

In a March 11, 2022, release by the Northern District of Georgia’s Office of the Department of Justice, it was reported that an investigation determined a Georgia nursing home knowingly submitted claims for unreasonable, unnecessary, and unskilled services for Medicare patients. Attorney Kurt R.

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DOJ Recouped $2.2 Billion Under FCA in 2022

Hall Render

billion in False Claims Act (“FCA”) related settlements and judgments in the federal fiscal year 2022. Whistleblowers continue to be one of the federal government’s greatest assets in FCA cases, as whistleblowers filed 652 qui tam suits in 2022 with recovery totaling $1.9 The Medicaid program was a target in 2022.

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COVID-related enforcement actions 

YouCompli

Wolf, MD provides enforcement action summaries for the YouCompli blog. Healthcare compliance history has shown that when the government disperses significant funds, audits and enforcement associated with the disbursement of those funds will shortly follow. In April 2022, officials at the U.S. MorseLife agreed to pay $1.75

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Massachusetts Medicaid Fraud Division Recovers Over $55 Million in 2021

Healthcare Compliance Blog

On January 19, 2022, the Massachusetts Medicaid Fraud Division announced that in calendar year 2021, more than $55 million was recovered from individuals and entities who defrauded the state. The Medicaid Fraud Division also prioritizes the physical and financial security of residents who reside in Massachusetts nursing homes.

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Highlights from the HHS-OIG 2023 Spring Semiannual Report

Provider Trust

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has released its latest 2023 Spring Semiannual Report to Congress, providing a comprehensive overview of its activities from October 2022 to March 2023. Residents First: Nursing homes should ensure they are promoting high-quality care for their residents.

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Massachusetts DPH Delays Enforcement Penalties for State Surprise Billing Law

Healthcare Law Today

The Massachusetts Department of Public Health (DPH) has delayed the enforcement penalties for the new notice requirements under the “Patients First Law” until July 1, 2022. The federal government promulgated the No Surprises Act, which we discussed in prior blog posts here and here.

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Skilled Nursing Transactions Update: CMS Enhances Scrutiny of Changes of Ownership for Skilled Nursing Facilities

Hall Render

CMS intends to increase its oversight and scrutiny of changes of ownership (“CHOWs”) and operator disclosures for skilled nursing facilities. The changes in CY 2023 PFS Final Rule included changes that impact skilled nursing facilities (“SNFs”). Managing Organization. Your primary Hall Render contact.

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