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Three Family Members Sentenced to Federal Prison for Healthcare Fraud Involving Durable Medical Equipment
Compliance Perspective - Healthcare Fraud: The Compliance Officer should review the
Owner of Florida Compounding Pharmacy Fraud Scheme Sentenced to 15 Years in Prison
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South Carolina Speech Therapist Convicted of Healthcare Fraud and Aggravated Identity Theft
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Compliance Perspective - Missing Narcotics: The Compliance Officer will review the
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Compliance Perspective - Medicaid Fraud: The Compliance Officer should review the
U.S. Settles False Claims Act Allegations Against Florida Ambulance Company for $1.2 Million
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14 Arizona Assisted-Living Centers Found Discriminating Against Prospective Deaf Residents
Healthcare Compliance Perspective: The Compliance Officer will review the policies and
Nurse Staffing Agency and Nurse Aide Sued in Death of 101-Year-Old Nursing Home Resident
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Religious Discrimination Alleged in Civil Complaint against Health and Rehabilitation Center in Virginia
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Medicaid Provider Agrees to Lifetime Exclusion from Medicaid
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Religious Discrimination Alleged in Civil Complaint against Health and Rehabilitation Center in Virginia
Religious Discrimination Alleged in Civil Complaint against Health and Rehabilitation
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Healthcare Compliance Perspective - Wrongful Termination: The Compliance Officer will review
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July Heatwave Forces New Jersey Nursing Home Evacuation When Air Conditioning System Fails
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Kentucky Skilled Nursing Facility, Corporate Management and Owner Agree to Pay $540,000 to Resolve False Claims Allegations
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Former Business Manager Arrested and Charged with Embezzling $227,000 from Healthcare Agency
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Staffing Agency Settles EEOC Sex Harassment and Retaliation Suit for $30,000
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Wound Services Provider to Pay Almost $400,000 for False Claims Act Allegations
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Nearly $50,000 in Overstated Medicaid Claims by Nursing Home Revealed by Tennessee State Auditors
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Hidden Camera Footage Supports $1.2 Million Awarded in Nursing Home Abuse Case
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VA Hospital Worker Pleads Guilty to Identity Theft of More Than 1,000 Patients
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Charlottesville Nursing Home Resident Dies After Falling into Creek
Healthcare Compliance Perspective: The Compliance Officer should review with the Compliance
North Carolina Nursing Homes Fined $567,976 by Medicare for Resident Abuse
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Healthcare Company to Pay More Than $30 Million to Resolve False Claims Act Allegations Related to Rehabilitation Therapy
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Former Nursing Home Owner and Manager Charged with Multiple Felonies
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Deaf Resident Sues Nursing Home for Lack of Access to Interpreter
Healthcare Compliance Perspective - Resident Sues Nursing Home: The Compliance Officer
Facility Blamed in Death of Former Presidential Adviser’s Father
Healthcare Compliance Perspective: A Compliance Officer faced with multiple concerns, e.g.,
Former Employee Files Suit Claiming Wrongful Discharge and Unlawful Retaliation
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Middle Tennessee Podiatrist Sentenced to Federal Prison for Health Care Fraud Scheme
Healthcare Compliance Perspective - Healthcare Fraud Scheme: Compliance Officers should develop
Florida Nursing Homes Get Ready for 2018 Hurricane Season
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Two-Year Investigation of Medicaid Transportation Fraud Based in Essex County Results in the Arrest of 12 Individuals
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CNA Accused of Stealing Money and Using Personal Identity Information of Elderly Couple to Defraud
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Nursing Home Miscalculated Resident’s Fall Risk, Possibly Contributing to Her Death
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Georgia Man Gets 5-Year Sentence for Filing Fraudulent Income Tax Returns and Cashing U.S. Treasury and Other Checks
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Massachusetts Skilled Nursing Facility Agrees to Settlement of Government Suit Alleging Disability Discrimination Involving Patient
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Family Practitioner and Orthopedic Surgeon Convicted of Healthcare Fraud
Healthcare Compliance Perspective - Healthcare Fraud: Knowingly making false statements and
Missouri Nursing Home Being Investigated for Providing Sub-Standard Care to Residents
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Chicago Area Physician Indicted for Allegedly Pocketing Nearly $1 Million in Medicare and Insurer Payments for Nonexistent False Claim Treatment
Healthcare Compliance Perspective: The submission of a false claim based on
Massachusetts Doctor Convicted by Jury of Illegally Sharing Patient Medical Files
Healthcare Compliance Perspective: Although the initial act of allowing unauthorized individuals
Athens County Home Health Care Agency Owner Sentenced for Committing $2M Fraud
Healthcare Compliance Perspective: Fraudulent behavior often involves all opportunities available
Congressional Democrats Propose Legislation that Would Ban Noncompete Agreements
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Northeast Texas Hospital Self-Discloses and Resolves Healthcare Compliance Concerns
Healthcare Compliance Perspective: A Compliance Officer, with guidance from Compliance Attorney,
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Medical Records Leaked by Transcription Service
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Case Study: Failure to Observe Narcotic Medication Protocol and Missing Fentanyl Patches
Failure to Observe Narcotic Medication Protocol and Missing Fentanyl Patches A
Nursing Home Fighting $25,000 State Fine
Healthcare Compliance Perspective - Nursing Home State Fine: Policies and procedures
Oahu Physical Therapist Pleads Guilty to Healthcare Fraud
Healthcare Compliance Perspective - Healthcare Fraud: Services provided by non-licensed persons
Pittsburgh Pharmacist Sentenced to Prison for Misbranded Drug Scheme
A federal district court judge has sentenced a resident of
U.S. DOJ Charges Missouri Nursing Home’s Social Services Director with Identity Theft from Elderly Residents
Healthcare Compliance Perspective: Suspicious activity that could potentially alert staff to
United States Files Suit Against Pennsylvania Physician for Prescribing Opioids Without Medical Purpose
Healthcare Compliance Perspective: Medicare abuse describes practices that result in
Exclusion List/License Checks
Exclusion List/License Checks Case A certified nursing assistant had been working at
Doctor Lands in Prison for Unlicensed Staff
Anthony Enrico, a Passaic County Podiatrist, was sentenced to three
VA OIG Report Reveals New York VA Medical Center Personnel Failed to Try and Resuscitate a Dying Patient
Healthcare Compliance Perspective: Licensed employees must not only refrain from acting
Heart Pump Manufacturer Agrees to Pay $3.1 Million to Resolve Kickback Allegations
Healthcare Compliance Perspective: Light meals may be offered in conjunction with
Internet Robots (Spiders, Crawlers and Web Bots) May Put Healthcare Organizations at Risk for HIPAA Violations
Healthcare Compliance Perspective: Inappropriate use of healthcare provider computers increases the
Employee Screening in Skilled Nursing Facilities: An Introduction
Most SNF employers are aware of the necessity of screening
Former Long-Term Care Ombudsman Pleads Guilty to Stealing from Nursing Home Resident
Healthcare Compliance Perspective: Public officials must maintain integrity for our
Springfield Nursing Home Residents Take Narcotics from Unsecured Medication Drawer
Healthcare Compliance Perspective: Audits must address medication diversion must account
California Nursing Home Sued for Injury to Former Resident’s Eye
Healthcare Compliance Perspective: Individual occurrences, in an of themselves, are
3 New Cases of Legionnaires at Illinois Veterans’ Home
Healthcare Compliance Perspective: An effective Compliance and Ethics Program requires
Cousins Committing $2.6 Million in Healthcare Fraud Get Suspended
Healthcare Compliance Perspective: An effective Compliance and Ethics Program requires a
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Skilled nursing facilities (SNFs) receiving federal funds are obligated to
Resident’s Death Raises Alarm About Security
Healthcare Compliance Perspective: It is essential to develop elopement risk prevention
Pathologist Testifies Nursing Home Staff Had Chance to Save Lives
Healthcare Compliance Perspective: It is essential to have clear policies and
Home Health Care Provider to Pay $6.4 Million to Settle Allegations of False Medicaid Billing
Healthcare Compliance Perspective: Medicare Fraud and Abuse is serious problem that
U.S. Obtains $16.2 Million Judgment Against MRI Provider for Submitting False Claims
Healthcare Compliance Perspective: Medicare reimbursement requires medical services be performed in
Hospital Agrees to Pay $89,000 to Settle EEOC Religious Discrimination Suit
Healthcare Compliance Perspective: A Compliance Program assists a healthcare provider in
Doctor and Patient Recruiters Charged in $18 Million Illegal Distribution of Prescription Drugs Scheme
Healthcare Compliance Perspective: All offers of employment for any position within
Indiana Hospital Ransomware Attackers Demand Bitcoin Payment
Healthcare Compliance Perspective: Healthcare providers are unfortunately a vulnerable target for
Georgia State Authorities Dismantle Systematic Elder Abuse and Medicaid Fraud Scheme
Healthcare Compliance Perspective: Sometimes a fraud comes along that is just
Healthcare Provider to Pay $2.3 Million to Settle Potential HIPAA Violations
Healthcare Compliance Perspective: When a potential breach of Protected Health Information
California Healthcare Corporation Agrees to $325K Settlement in Disability Discrimination Class Action Suit
Healthcare Compliance Perspective: All employees in the workplace are responsible for
Medicaid Fraud Complaint Filed Against Former Physicians and Their Business Entities for Filing False Claims
Healthcare Compliance Perspective: Compliance Perspective: False claims and billing fraud may
Former Nursing Home Executives Plead Guilty in Kickback Scheme
Healthcare Compliance Perspective: It is essential that all current employees and
Nursing Home Resident Received a Wound Possibly from a Cigarette Burn
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U.S. Sues Diagnostics Company for Allegedly Billing Medicare for Unnecessary Home Sleep Tests
Healthcare Compliance Perspective: Each employee and vendor of a healthcare provider
Virginia Doctor Sentenced to 30 Years for Oxycodone Distribution Conspiracy
Healthcare Compliance Perspective: Vendors must be screened prior to conducting business
Pennsylvania DOH Fines Nursing Home Nearly $800,000
Healthcare Compliance Perspective: When compliance violations are originally detected, it is
Three New York Diagnostic Testing Facility Owners Charged for Fraud Scheme
Healthcare Compliance Perspective: Physicians, employees, diagnostic testing facilities, and various other
Imaging Companies and Owners Resolve Swapping and Medicare Fraud Allegations
Healthcare Compliance Perspective: The Anti-Kickback Statute makes it a crime to
Oncology Company Agrees to Pay $26 Million to Settle False Claims Act Allegations
Healthcare Compliance Perspective: Facilities should consistently audit various aspects of their
Connecticut Nursing Home Fined
Healthcare Compliance Perspective: Substandard quality of care arising from ineffective
Hospital Pharmacy Technician Suspended for Diversion of Medications and Compounding Medication Errors
Healthcare Compliance Perspective: Employees for healthcare companies shall adhere to a
DPH Assesses Fines on Nursing Homes for Care Infractions
Healthcare Compliance Perspective: A pattern of submitting claims to Medicare or
Former Owner and Co-Conspirator of Sleep Study Clinics Charged With Estimated $200 Million in Health Care Fraud and Tax Evasion
Healthcare Compliance Perspective: Under federal law, directors, officers, and physicians who
Nurse Charged in Resident’s Death for Medication Errors
Healthcare Compliance Perspective: Each resident's drug regimen must be free from
Home Healthcare Company Settles EEOC Disability Discrimination Suit for $25,000
Healthcare Compliance Perspective: Healthcare providers, under the Americans with Disabilities Act,
Initial Pool: The First Stage of the CMS’s New Survey Process
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CNA Accused of Credit Card Theft Has License Placed Under Emergency Restriction
Healthcare Compliance Perspective: Healthcare providers must ensure that employed individuals have
Sensitive Medical Records Carelessly Dumped in Public Recycling Bin
Healthcare Compliance Perspective: Healthcare providers must ensure that any documentation containing
Physician-Owned Hospital to Pay $7.5 Million to Settle Kickback Allegations to Physicians in Exchange for Surgical Referrals
Healthcare Compliance Perspective: The Anti-Kickback Statute makes it a crime for
Man Sentenced on Health Care Fraud Conviction
Healthcare Compliance Perspective: Medicare Fraud is knowingly submitting false claims to
Woman Pleads Guilty to Stealing from Nursing Home Residents
Charged with 20 criminal counts of "theft and receiving stolen
Operator of Purported Durable Medical Equipment Providers Pleads Guilty
Healthcare Compliance Perspective: Compliance Officers must focus on ensuring that products
Lawsuit Accuses Senior Living Facility of Elder Abuse and Negligence
Healthcare Compliance Perspective: Healthcare Providers can work in partnership with local
Creating the “Systematic Analysis and Systemic Action” Element of a QAPI
The “Systematic Analysis and Systemic Action” element of the Centers
Doctor Pleads Guilty to Billing Health Care Programs with No Medical License or Office
Healthcare Compliance Perspective: It is the obligation of the employee to
Nursing Home Companies Settle Allegations of Poor Care
Healthcare Compliance Perspective: Knowingly submitting claims for services provided that are
Federal Agents Investigating Exposure of Patient Data
Healthcare Compliance Perspective: If a breach of protected
Feedback, Data Systems, and Monitoring: The Third Element of QAPI
The “Feedback, Data Systems, and Monitoring” element of the Centers
San Diego Pharmacy to Pay $60,000 to Settle Equal Pay Discrimination Suit
Healthcare Compliance Perspective: Healthcare providers are prohibited from basing pay rates,
Physician Sentenced to Prison for Fraudulent Prescriptions
Healthcare Compliance Perspective: Civil penalties for violating the Federal False Claims
Nurse Sentenced to 2 Years in Prison for Misappropriating Residents’ Pain Pills
Healthcare Compliance Perspective: Quality Assurance and Performance Improvement studies can be
Nursing and Rehabilitation Center Fined for Financial Abuse of Resident
Healthcare Compliance Perspective: Compliance Officers need to monitor their staff for
Employee’s Claims of Sexual Harassment by Patients Is Not Severe Enough to Support Her Claim of a Hostile Working Environment
Compliance Perspective: Harassment occurs when the unwanted conduct is a condition
Preparing the “Design and Scope” Element of QAPI
The “Design and Scope” element of the Centers for Medicare
Class Action Suits Still a Gray Area in the Nursing Home Environment
By: David Barmak, Esq. Three recent class action suits involving long-term-care
Former Nurse Convicted of Stealing Patient Information, Files over $1M in Fraudulent Claims with IRS
Healthcare Compliance Perspective: Compliance and Ethics Committees must be cognizant of
Former President of Harris County Medical Society and Affiliated Facilities Settle Allegations of Medicare Fraud
Healthcare Compliance Perspective: If sidestepping standard medical procedures to boost profits
Former Nursing Home Biller Charged With Medicaid Fraud
Healthcare Compliance Perspective: An effective Compliance and Ethics Program
Attorney General Announces Jail Time for Home Health Care Agency Owner Convicted of Wage Theft
Healthcare Compliance Perspective: Compliance Officers must ensure that Human Resources and
Massachusetts Nursing Home Required to Pay $350,000 in Elopement Case
In a settlement one-week prior to trial, a nursing home
Nine Arrested for Abusing an Elderly Patient in Connecticut Psychiatric Hospital
Healthcare Compliance Perspective: Patient Abuse violates Medicare Conditions of Participation which,
Resident Injured when Care Plan Not Followed
A resident reported pain in her shoulder. Bruising was present,
78 Year-Old-Woman Missing Since August 24 from Bethlehem Nursing Home Found September 19 in Allentown
Last August, a woman with Alzheimer’s disease was reported missing
E-Mail Breached the Personal Health Information of Over 26,000 Patients in Arkansas Medical Facility
Healthcare Compliance Perspective: False claims may result when a healthcare provider
State Imposes Admissions Freeze After Inspections Find Problems at Massachusetts Nursing Home
Compliance Perspective: It is the Compliance Officer's responsibility when a
Lawsuit against Nursing Home by Families and Residents Alleging Powerful Drugs Prescribed without Consent Is Settled
Compliance Perspective: Deliberately ignoring or failing to obtain a resident's or
Oklahoma Doctor Agrees to Pay $580,000 to Settle Allegations of Submitting False Claims to Medicare
Healthcare Compliance Perspective: The Compliance Officer is responsible for developing and
Oceans and Borders Do Not Constrain Greed and Healthcare Fraud
“Man’s inhumanity to man” has no boundaries as evidenced by
Despite Federal Law, Nursing Homes Failing to Report Abuse
Compliance Perspective: The compliance officer shall commence an investigation as soon
Nursing Home Social Worker Sentenced in Medicaid Fraud, Financial Exploitation of Patients
Compliance Perspective: Audits must be performed to ensure that nursing home
Home Health Agency Owner Receives Lengthy Sentence for Conspiring to Defraud Medicare & Medicaid Fraud of $17 million
Healthcare Compliance Perspective: Kickbacks paid to referral sources and/or Medicare beneficiaries
Healthcare Worker Steals Over $70,000 from Elderly Woman
Healthcare Compliance Perspective: A Compliance Officer must ensure that families understand
New Owners Say Facility’s Downgraded Rating Is Due to Residents Now Getting Better Care—True? or False?
The new CEO and vice president of the company that
Palm Harbor Oncologist Sentenced to Nearly Six Years for Treating Patients with Unapproved Cancer Drugs
Healthcare Compliance Perspective: A culture of compliance and ethics requires manager/owner's
New Jersey Gov. Signs ‘Peggy’s Law’ Protecting Seniors in Nursing Homes and Assisted Living Facilities from Abuse
Healthcare Compliance Perspective: This new statute applies to New Jersey only;
Operators of Bogus Medical Clinics Charged in Conspiracy to Divert Massive Amounts of Prescription Narcotics to the Black Market
Healthcare Compliance Perspective: License, exclusion, credentialing checks are essential to detect
CA nursing home fined $100,000 fine for resident’s death and false documentation
Healthcare Compliance Perspective: Worthless services coupled with intentionally falsified documentation lead
Atlanta Pain Clinic and its owner agree to pay $250,000 to resolve allegations that they violated the False Claims Act
Healthcare Compliance Perspective: Excluded providers shall not participate in federally funded
Texas Couple Who Stole/Unlawfully Obtained Patient Identification Information Sentenced to Federal Prison Terms
Healthcare Compliance Perspective: Auditors must not only look at pink and
Former Caregivers at Michigan Vets Home Charged for Not Doing Room Checks, Falsifying Information
Healthcare Compliance Perspective: False documentation creates harm on multiple levels -
Nursing home settles with deceased estate for $270,000 in wrongful death suit
A 70-year-old woman, who had been a family physician, was
Avoiding an IT Attack: Practical Steps for Healthcare Facilities
Recent ransomware attacks against healthcare facilities have exposed many institutions
Ransomware Attack Affects 300,000 Patients of Women’s Clinic
Healthcare Compliance Perspective: If Compliance Officers are faced with an actual
Woman sentenced in Medicaid fraud case related to a minor’s death
Healthcare Compliance Perspective: Healthcare fraud may at times pale by comparison
Number of nursing home fines in Pennsylvania jump since 2014, total $774,750 so far this year
Healthcare Compliance Perspective: The Office of Inspector General developed new approaches
Becoming a Special Focus Facility is not a Cause for Celebration!
By: Betty Frandsen, MHA, RN, NHA, CDONA, FACDONA, C-NE, IP-BC
Mother and son charged in alleged fraud scheme against elderly relative
Healthcare Compliance Perspective: A skilled nursing facility is obligated to proactively
State and Federal Attorneys Announce $4.4 Million Settlement with NY Visiting Nurse Service and Managed Long-Term Care Plan
Healthcare Compliance Perspective: Overpayments, received for whatever reason, must not only
Assisted Living Facility Owners Sentenced to Federal Prison for Receipt of Health Care Kickbacks
Healthcare Compliance Perspective: The most challenging compliance exposure to root out
Doctor pleads guilty in $1.5M toenail clipping fraud scheme
Healthcare Compliance Perspective: Compliance Officers must ensure that the services billed
Brooklyn Pharmacy Owner/Operator Charged With Defrauding Medicare and Medicaid Programs of Approximately $9 Million
The defendant is accused of submitting approximately $9 million
Oklahoma City Mother and Son Sentenced to Prison for $770,000 Fraud against Medicaid
Healthcare Compliance Perspective: The recurring theme of fraud as a slippery
Preventing Ransomware Attacks: IT Education in the Healthcare Industry
By: Betty Frandsen, MHA, RN, NHA, CDONA, FACDONA, C-NE, IP-BC and Jeannine
Woman Pleads Guilty in Nursing Home Identity Theft Case
Healthcare Compliance Perspective: Healthcare providers must continuously remind themselves of the
Resident Claimed a Bedsore, Facility Claimed She Scratched It, Jury Awards $100K
An 80-year-old woman, was admitted to a healthcare and rehabilitation
Newbury Park nursing home pays in class-action settlement
A highly-rated Catholic nursing home in Newbury Park has agreed
Hospice to pay $2.4 Million to resolve False Claims Act Allegations
Healthcare Compliance Perspective: The Federal Anti-Kickback Statute 42 U.S.C. § 1320a-7(b)
Nursing Home Responsible for Resident’s Choking Death
A 57-year-old male resident at a Chicago Hispanic nursing home
Preventing Abuse and Fraud with Antibiotic Stewardship Programs
Preventing Abuse and Fraud with Antibiotic Stewardship Programs By: Betty Frandsen, MHA,
Medicare Advantage Swindle? “Whistleblower” Lawsuit Indicates Grassley was Right
A second “whistleblower” lawsuit which alleges that one of the
HHS Memo on Staff Communication with Congress “Illegal”
A Department of Health and Human Services (HSS) memo instructing
Wound Care Is a Serious Concern for Skilled Nursing Facilities
By: Louise Lindsey, B.S., M.A., D.Div. According to the Centers for
HHS OIG Hotline Telephone Number Used in Scam
The U.S. Department of Health and Human Services (HHS) Office
Improper Disposal of Private Health Information (PHI)
By: Louise Lindsey, B.S., M.A., D.Div. A recent article in the
Case Study: Bullying – It Can Happen Anywhere
Bullying does not just exist out in the world, but
Healthcare Industry Suffers 62% Increase in Data Breaches
The healthcare industry has suffered a 62 percent increase in
Nursing Home Intrusion: Not On Your Watch?
Nursing Home Intrusion: Not On Your Watch? By: David S. Barmak,
Healthcare Fraud: A Safe and Profitable Return on Criminal Investment
Healthcare Fraud: A Safe and Profitable Return on Criminal Investment By:
News & Views Volume 2. Issue 3.
Med-Net Concepts, LLC Introduces New Blog: A Valuable Resource For
News & Views Volume 2. Issue 2.
The Reality of the Nursing Home Admission Process By: David
False Imprisonment: A Legal Cause of Action
False Imprisonment: A Legal Cause of Action By: Betty Frandsen, MHA, RN,
Negligence in Long Term Care: Avoiding Potential Liability
Negligence in Long Term Care: Avoiding Potential Liability By: Betty Frandsen, MHA,
News & Views Volume 2. Issue 1.
Negligence in Long Term Care: Avoiding Potential Liability By: Betty Frandsen,
Hot Topics – 06/27/2016
FRAUD/ABUSE 1.The Food and Drug Administration’s new policy proposal on repackaging
Hot Topics – 06/09/2016
FRAUD/ABUSE FRAUD/ABUSE Masoncare’s Wallingford nursing home has been named in a lawsuit
Hot Topics – 06/06/2016
FRAUD/ABUSE FRAUD/ABUSE Office of Inspector General recently reported to Congress on its
Hot Topics – 05/27/2016
FRAUD/ABUSE FRAUD/ABUSE Employee of Ambulance Company Sentenced for Fraud: An employee of
Hot Topics – 05/10/2016
FRAUD/ABUSE FRAUD/ABUSE The Department of Labor has issued a new manual/guide for
Hot Topics – 05/02/2016
FRAUD/ABUSE FRAUD/ABUSE Owners of Physical Therapy Company Charged For Role in Fraud
Hot Topics – 04/18/2016
FRAUD/ABUSE FRAUD/ABUSE Qui Tam Lawsuit Filed Against Medical Providers by Medical Society:
Hot Topics – 04/11/2016
FRAUD/ABUSE FRAUD/ABUSE Ten Regional Nursing Home Task Forces to Be Created: The
Hot Topics – 03/21/2016
FRAUD/ABUSE DE Senator Questions HHS Regarding Inappropriate Social Media Posts by
Hot Topics – 03/14/2016
FRAUD/ABUSE Prison Sentence Handed Down in Scheme to Claiming to Reduce
Hot Topics – 03/07/2016
FRAUD/ABUSE A Nursing home sued after posting nude photos A lawsuit
Hot Topics – 02/08/2016
FRAUD/ABUSE CNA Receives Prison Sentence for Resident Abuse: A CNA working
Hot Topics – 01/11/2016
FRAUD/ABUSE Company Agrees to Pay $600,000 in Settlement: Genesis Healthcare LLC
Hot Topics – 01/06/2016
FRAUD/ABUSE 71 Month Prison Sentence in Fraud Case: A Texas psychiatrist
Hot Topics – 12/14/2015
FRAUD/ABUSE Laboratory to Pay $8.5 Million in False Claims Settlement: Wisconsin
Hot Topics – 11/30/2015
FRAUD/ABUSE Ohio Long-Term Care Facility to Pay $1 Million Following Death
Hot Topics – 11/04/2015
FRAUD/ABUSE South Carolina Hospital To Pay $237 Million to Resolve False
News & Views Volume 1. Issue 2.
Is There Ever Enough Pepper? By: Rona Wiedmayer, MA., CCC-SLP, President,
Hot Topics – 10/19/2015
FRAUD/ABUSE Long-Term Care Pharmacy Agrees to Settlement: PharMerica Corp., a long-term
Hot Topics – 10/03/2015
FRAUD/ABUSE $118.7 Million False Claims Settlement Reached: A Florida-based healthcare company
Hot Topics – 9/21/2015
FRAUD Bookkeeper Convicted of Stealing from Trust Fund Accounts of Patients:
Hot Topics – 8/10/2015
EMPLOYMENT Workplace Violence Bill Proposed in MA: The Massachusetts Nurses Association
Hot Topics – 7/31/2015
DISCRIMINATION (NON-EMPLOYMENT) ADA Settlement: A Virginia nursing home has agreed to
Hot Topics – 7/09/2015
FRAUD/ABUSE Settlement Reached Following Anti-Kickback and Stark Law Violations: The Westchester
Hot Topics – 6/29/2015
FRAUD/ABUSE Three Sentenced in Medicare Fraud Scheme: According to the Department
Hot Topics – 6/16/2015
FRAUD/ABUSE Payroll Scam: Two employees of a Pennsylvania nursing home have
Hot Topics – 6/01/2015
FRAUD/ABUSE 1. Anti-Kickback Violations: According to McKnight’s Long Term Care News,
Hot Topics – 5/27/2015
FRAUD/ABUSE 1. Anti-Kickback Violations: According to McKnight’s Long Term Care News,
Hot Topics – 5/02/2015
FRAUD/ABUSE 1. Exclusion – According to a 4/29/15 special Investigative Report
Hot Topics – 3/16/2015
MEDICARE/MEDICAID NEWS &APPEALS OF CMS PENALTIES/REMEDIES 1. MDS Focused Surveys to
Hot Topics – 1/12/2015
FRAUD 1. Kickbacks - Long Term Care Pharmacy: United States Department
Hot Topics – 12/29/2014
LITIGATION 1. Production of Quality Assurance Committee documents under the Federal
Hot Topics – 11/21/2014
FRAUD 1. A new bill introduced by Representatives Ted Deutch (D-FL)
Hot Topics – 11/14/2014
FRAUD 1. Exclusion: The Office of Inspector General for HHS settled
Hot Topics – 10/27/2014
FRAUD 1. Pharmacy: A NJ pharmacist, with a compounding pharmacy in
Hot Topics – 10/10/2014
FRAUD 1. Two Whistle-Blower suits, under the False Claims Act, were
Hot Topics – 10/03/2014 – Part – 2
I. FRAUD Health and Human Services issued a proposed rule on
Hot Topics – 10/03/2014 – Part – 1
FRAUD 1. Two Detroit-area residents were arrested and charged with conspiracy
Hot Topics – 9/15/2014
FRAUD 1. Maryland nursing home agrees to pay $1.3 million settlement