Improving Payment Accuracy for Physician Services in Skilled Nursing Facilities
The Centers for Medicare & Medicaid Services (CMS) issued an update to improve payment accuracy for physician services provided in Skilled Nursing Facilities (SNFs) as detailed in the MLN Matters…
Read More »Owner and Caretaker Sentenced for Financial Abuse of Resident in Baltimore ALF
On March 21, 2025, Maryland Attorney General Anthony G. Brown announced the sentencing of two women involved in the financial exploitation of a vulnerable adult in an assisted living facility…
Read More »Memphis Doctor Faces Charges for TennCare Fraud and Theft of Property
A Memphis doctor is facing charges of TennCare fraud and theft of property following an investigation by special agents with the Medicaid Fraud Control Division (MFCD) of the Tennessee Bureau…
Read More »Miami Nurse Sentenced to over Two Years for Swapping Medical Fentanyl with Saline
A federal district judge in South Florida sentenced a registered nurse (RN) to more than two years in prison for tampering with medical-grade fentanyl which was intended to treat patients’…
Read More »CNA at Florida Assisted Living Facility Arrested and Charged with Battery
A Certified Nursing Assistant (CNA) at an assisted living and memory care facility was arrested on March 10 on charges of battery against a person aged 65 or older. The…
Read More »OIG Recommends Stronger Oversight and Expertise for Nursing Home Emergency Preparedness
The US Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued a report on March 11, 2025, stating that state survey agencies need clearer guidance to…
Read More »Wisconsin Woman Charged with Stealing more than $95K from Father in Nursing Home
On March 11, 2025, the Wisconsin Department of Justice Division of Criminal Investigation (DCI) announced that a 43-year-old woman had been charged with one count of theft, business setting (>$10,000…
Read More »Man Sentenced to over 9 Years in Prison for Healthcare and Unemployment Fraud
A Virginia man was sentenced on March 12, 2025, to nine years and three months in prison for healthcare and unemployment fraud schemes that resulted in nearly $1 million in…
Read More »OIG Releases Medicaid Fraud Control Units Annual Report for FY 2024
The US Department of Health and Human Services Office of Inspector General (OIG) released its annual report showing that Medicaid Fraud Control Units (MFCUs) recovered $1.4 billion in civil and…
Read More »Paramedic Admits to Falsely Posing as Medical Doctor and Writing Prescriptions
Acting United States Attorney April M. Leon announced on March 10, 2025, that a 35-year-old Louisiana man had pleaded guilty to making false statements related to healthcare, including posing as…
Read More »