1. Genesis Healthcare agrees to pay $53.6M to settle fraud allegation - “Pennsylvania-based Genesis Healthcare Inc. has agreed to pay the federal government $53.6 million to settle six False Claims Act lawsuits that accused the company of defrauding government healthcare programs.
The settlement agreement, reached Friday, resolves allegations that companies and facilities acquired by Genesis submitted false claims to Medicare and Medicaid for unnecessary therapy and hospice service, as well as “grossly substandard” nursing care. The nursing home giant owns and operates nursing facilities, senior living facilities, and a rehabilitation therapy business.” Read the Full Story Here
2. Amedisys will pay $43.8 million to settle shareholder class-action lawsuit - “Home health giant Amedisys announced Friday that it has agreed to pay $43.8 million to settle a shareholder class-action securities lawsuit brought in 2010.
The settlement, of which Amedisys' insurance carriers will pay $15 million, is the final chapter of a seven-year legal battle that also saw Amedisys pay $150 million in 2014 to the U.S. Justice Department for allegedly inflating Medicare home care visits.” Read the Full Story Here
3. Deeper Than The Headlines: Why Modifiers Matter - In this week’s Deeper Than The Headlines, we’re going to dive deep into modifiers and why they matter so much because on June 13, 2017, the U.S. Attorney’s Office for the Northern District of New York announced a settlement with the University of Rochester over allegations of improper modifier usage.
Court records show that a qui tam relator (whistleblower) filed a complaint in U.S. District Court outlining the accusations of modifier misuse. Specifically, the modifier in question was modifier -25. You won’t want to miss this.
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