by admin | Mar 6, 2017 | Uncategorized
Medicare pays for therapy because it can foster healing and rehabilitation for sick patients. But can there be too much of a good thing? The answer, unfortunately, is yes. Medicare pays skilled nursing facilities (SNFs) based on the amount of medical services they...
by admin | Mar 2, 2017 | Uncategorized
Under Part A, skilled nursing facilities bill by the exact number of minutes of services that they provide to patients. Under Part B, skilled nursing facilities bill by “units” that are based on the number of minutes of therapy given to the patient. Some...
by admin | Feb 28, 2017 | Uncategorized
If the phrase “the war on drugs” conjures up pictures of drug-sniffing dogs and bundles of drugs hidden in vehicles crossing the border, think again. The new front of the war is being waged here at home against giant pharmaceutical companies and...
by admin | Feb 20, 2017 | Uncategorized
The Government says skilled nursing facilities (SNFs) are overbilling Medicare and Medicaid by $1.5 billion. To stop it, the government counts on whistleblowers who file suit under the False Claims Act, which the Justice Department calls “one of the most...
by admin | Feb 16, 2017 | Uncategorized
Some skilled nursing facilities are providing services that patients don’t really need, just in order to be able to bill Medicare and Medicaid more. The problem’s not small — the Office of the Inspector General for Health and Human Services says that...
by admin | Feb 13, 2017 | Uncategorized
In January 2016, two whistleblowers got a $24 million payday for their role in getting $125 million back for RUG fraud by Kindred/RehabCare Group. Among other things, the company was accused of inflating the number of minutes of treatment that went into the RUG rate....
by admin | Feb 9, 2017 | Uncategorized
When SNF whistleblowers call me, they are being pressured to do something they know is wrong, like write down extra minutes of therapy, or continue therapy even after a patient no longer needs it. They want to stop the fraud, but many of them have a question: Why? Why...
by admin | Feb 6, 2017 | Uncategorized
My law firm represent whistleblowers who know about Medicare fraud. When I get calls from skilled nursing facility (“SNF”) employees, they often know that they are being asked to do something wrong, like write down that they gave more minutes of therapy...
by admin | Feb 2, 2017 | Uncategorized
Are you a whistleblower who knows about a skilled nursing facility (SNF) that is committing fraud? I’m a lawyer who represents whistleblowers, and I hate fraud just as much as you do! I find that the whistleblowers who call me know that they are being asked to...
by admin | Jan 30, 2017 | Uncategorized
If you sleep through therapy, did it really happen? The Justice Department answers a resounding “no”, and warns skilled nursing facilities not to bother to bill Medicare for services that are not skilled – such as when the patient is not even awake....
