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Nursing Home Psychologist Convicted of Healthcare Fraud Scheme

Med-Net Compliance

A federal jury convicted a licensed Illinois psychologist of defrauding Medicare over the course of several years by causing the submission of fraudulent claims for psychotherapy services he never provided. The psychologist was convicted of four counts of healthcare fraud.

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Nursing Home Investigation Leads to Michigan Sentinel Project’s First Criminal Case

Healthcare Compliance Blog

Complaints of resident abuse in a Michigan nursing home led to an investigation by the Michigan Office of Attorney General’s Health Care Fraud Division, working with the Michigan Sentinel Project. The investigation determined that a nurse was working at the nursing home while her license was suspended, which is a felony.

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Webinar Recap: OIG’s 2023 Guidance for Navigating Compliance Changes

Provider Trust

In our recent webinar, ProviderTrust’s Chief Compliance Officer, Donna Thiel, shared her expertise and valuable feedback from the 2023 HCCA Compliance Institute. Watch the Webinar During the Keynote Speech at the HCCA Compliance Institute this year, Office of Inspector General (OIG) Christi A.

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Highlights from the HHS-OIG 2023 Spring Semiannual Report

Provider Trust

Grimm, the OIG continues its tireless efforts to uncover instances of fraud, waste, and abuse within HHS programs. OIG continues to work tirelessly to identify instances of fraud, waste, and abuse and prosecute offenders. Through years of oversight, they have discovered various obstacles and weaknesses within nursing home facilities.

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Illinois Nurse Sentenced for Not Administering CPR to Unresponsive Resident 

Healthcare Compliance Blog

An Illinois licensed practical nurse (LPN) was convicted and sentenced for failing to administer lifesaving measures to a resident in a nursing home in 2017. Additionally, the LPN’s nursing license was suspended for an unspecified period of time. Discussion Points: Review your policies and procedures on CPR.

Nurses 59
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Boston Registered Nurse Pleads Guilty to Tampering with a Narcotic

Healthcare Compliance Blog

A Boston registered nurse (RN) has pled guilty to one count of tampering with a consumer product and one count of obtaining a controlled substance by fraud and deception. The RN was working in a nursing home when she tampered with morphine that was prescribed to a resident under her care.

Nurses 59
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Pennsylvania Nurse Pleads Guilty to Neglect and Falsifying a Medical Record

Healthcare Compliance Blog

The nurse was sentenced to six months under house arrest and may not seek reinstatement of her license or work in a care facility/home during her five-year supervision period. Falsifying medical records can be viewed as fraud, and quick action should be taken when falsified medical records are discovered.

Nurses 59