Fraud Costs SNFs $160 Million in FY16 The U.S. Department of Justice collected more than $160 million in false claims settlements and judgments from nursing homes and skilled nursing facilities (SNFs) in the fiscal year that ended Sept. 30, 2016. That figure is part of the $4.7 billion recovered in FY16 under the False Claims Act, of ... News in Brief
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News in Brief  |   April 01, 2017
Fraud Costs SNFs $160 Million in FY16
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Special Populations / Older Adults & Aging / Healthcare Settings / Practice Management / Regulatory, Legislative & Advocacy / News in Brief
News in Brief   |   April 01, 2017
Fraud Costs SNFs $160 Million in FY16
The ASHA Leader, April 2017, Vol. 22, 13. doi:10.1044/leader.NIB3.22042017.13
The ASHA Leader, April 2017, Vol. 22, 13. doi:10.1044/leader.NIB3.22042017.13
The U.S. Department of Justice collected more than $160 million in false claims settlements and judgments from nursing homes and skilled nursing facilities (SNFs) in the fiscal year that ended Sept. 30, 2016.
That figure is part of the $4.7 billion recovered in FY16 under the False Claims Act, of which $2.5 billion came from the health care industry.
The False Claims Act is the federal government’s primary civil remedy to redress false claims for government funds and property in health care, defense and national security, food safety and inspection, federally insured loans and mortgages, highway funds, small business contracts, agricultural subsidies, disaster assistance, and import tariffs. In 1986, Congress strengthened the act by increasing incentives for whistleblowers to file lawsuits alleging false claims on behalf of the government.
Less than a month into the new fiscal year, the owner/operator of more than 220 SNFs paid $145 million to resolve allegations that it ordered unnecessary and unreasonable rehabilitation services for patients to maximize Medicare reimbursement.
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April 2017
Volume 22, Issue 4