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Home Health and Hospice

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As AseraCare Trial Begins, Judge Narrows What Government Can Present to the Jury

Posted  08/5/15
By Ari Yampolsky, Mary Inman
by Mary Inman and Ari Yampolsky Yesterday's AseraCare trial began like all others with the empaneling and swearing in of the jury.  However, unlike juries in other False Claims Act trials, this jury will only be provided with a narrow slice of the evidence.  Judge Bowdre has divided the trial into phases and, in an unusual move, has severely restricted what the Phase One jury will consider. Although there are...

July 29, 2015

New York Attorney General Eric T. Schneiderman announced the sentencing of the executive director of a company for stealing funds from the Nursing Home Transition and Diversion program, a Medicaid-funded program that provides senior citizens and those suffering from physical disabilities an alternative to institutional living through the use of Medicaid funds for renovations to the homes of the elderly and disabled (wheelchair ramps, grab bars, etc.). Defendant plead guilty to grand larceny, based on the submission of bids and cost reports, which falsely stated the actual costs of the projects, significantly inflating the actual costs or including services which were never provided. NY

DOJ Enforcement Spotlight -- Cancer Doctor Farid Fata

Posted  07/14/15
By the C|C Whistleblower Lawyer Team Last Friday, the Department of Justice secured a 45-year prison sentence against the now infamous Detroit-area doctor, Farid Fata.  He was also ordered to forfeit $17.6 million of illegal reimbursements he obtained from Medicare and private insurance companies.  This stems from his guilty plea in September 2014 to violating the False Claims Act with a health care fraud scheme...

February 25, 2015

New York Attorney General Eric T. Schneiderman announced a settlement with nonprofit Regional Aid for Interim Needs, Inc. (RAIN) for diverting $800,000 in Medicaid funds to make mortgage payments on the agency’s administrative headquarters in violation of the organization’s funding agreements with the NYC Human Resource Administration. Under the settlement, RAIN, which provides home attendant services to elderly residents in the Bronx, must repay the illegally diverted $800,000 back to the Medicaid program. NY

DOJ Catch of the Week -- Compassionate Care Hospice

Posted  02/20/15
By the C|C Whistleblower Lawyer Team This week's Department of Justice "catch of the week" goes to Compassionate Care Hospice Group and Compassionate Care Hospice of New York. On Wednesday, the hospice services provider agreed to pay more than $6.5 million to settle charges it violated the federal and New York False Claims Acts by submitting claims to Medicare and Medicaid for hospice nursing services not actually...

April 23, 2014

Amedisys home health companies agreed to pay $150M resolve allegations they violated the False Claims Act by allegedly billing Medicare for nursing and therapy services not medically necessary or provided to patients who were not homebound, and by otherwise misrepresenting patients’ conditions to increase its Medicare payments. The allegations were first raised in several qui tam lawsuit filed by former Amedisys employees under the whistleblower provisions of the False Claims Act. DOJ
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