article thumbnail

Texas OIG Inspectors Discover Errors in Reported Nursing Home Staff Hours

Med-Net Compliance

On November 3, 2022, the OIG released the results of a recent inspection of a nursing home by the Texas Health and Human Services (HHS) Office of Inspector General Audit and Inspections Division (OIG Inspections).

article thumbnail

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. A federal district court judge will determine any sentence after considering the US Sentencing Guidelines and other statutory factors.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Nursing Home Provider to Pay over $5.5M in Civil False Claims Settlement

Med-Net Compliance

An Indiana provider of skilled nursing and long-term care services has agreed to pay $5,591,044.66 The civil FCA defines “knowing” to include not only actual knowledge but also instances in which the person acted in deliberate ignorance or reckless disregard of the truth or falsity of the information. to the United States.

article thumbnail

OIG Enhances Focus on Potentially Preventable Hospitalizations of Nursing Home Residents

Med-Net Compliance

The US Department of Health and Human Services (HHS) Office of Inspector General (OIG) has announced that they will be enhancing their focus on potentially preventable hospitalizations of Medicare-eligible skilled nursing facility (SNF) residents. and 42 CFR § 483.25).

article thumbnail

The Institutionalization Missing Data Problem

Bill of Health

One of the most important lessons from the ongoing COVID-19 pandemic needs to be about health surveillance of marginalized health populations — indeed, “who counts depends on who is counted.”. with IDD are more likely to be diagnosed with and die from the virus, especially when residing in congregate group homes.

article thumbnail

HHS Findings from Semiannual Report to Congress

American Medical Compliance

In Spring 2022’s Semiannual Report to Congress (SAR), the Department of Health and Human Services’ Office of Inspector General (HHS-OIG) reported that nearly $3 billion had been misspent on Medicare and Medicaid services. Increased Telehealth Services.

article thumbnail

HHS Findings from Semiannual Report to Congress

American Medical Compliance

In Spring 2022’s Semiannual Report to Congress (SAR), the Department of Health and Human Services’ Office of Inspector General (HHS-OIG) reported that nearly $3 billion had been misspent on Medicare and Medicaid services. Increased Telehealth Services.