Nursing Home Fraud

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When a family member moves into an assisted care facility, their new home is evaluated from many angles. What is the living space like? What are the staff qualifications? Have there been concerns raised in the past? Most likely, you aren’t considering the potential need for litigation.

Yet among the many pages of admissions paperwork, nursing home residents and their families are being asked to sign a forced arbitration agreement before being admitted. This agreement bars a court hearing in the case of disputes, including those that address abuse, injury, or wrongful death while at the facility.…

Continue Reading Railroaded: Forced Arbitration Clause Should Alarm Nursing Home Residents

According Kaiser Health News, an analysis of nursing home financial records revealed that nearly three-quarters of all nursing homes in the U.S. are owned by people who also have vested interest in companies that in turn sell services and goods to these same nursing homes.

These business dealings are known as “related party transactions.” These transactions enable a nursing home owner to arrange contracts with their related businesses above a more competitive price, allowing them to turn around and siphon off the extra profit.…

Continue Reading When Nursing Homes Feed Into Corporate Web, Patient Care Fails

It was recently reported by ABC27 News that the Pennsylvania Attorney General Office has brought a lawsuit against Grane Healthcare and their facilities individually for understaffing and not providing basic services to its residents.

More troubling is the fact that the state alleges that “Grane’s business practices are deceptive and misleading because it advertises that…

According to Medicare fraud reports by the U.S. Department of Human Health and Services (HHS), the U.S. Department of Justice’s Medicare Fraud Strike Force team has investigated $7 billion in fraudulent billing since 2007 and prosecuted over 2400 medical professionals and administrators. Part of that amount comes from nursing homes that bill for unnecessary services or for services that have not been provided to the residents that depend on them.

And that fraudulent activity harms nursing home residents as well as our government’s bottom line.…

Continue Reading How Nursing Home Staff Can Help Prevent Medicare Fraud