Patients in nursing homes and skilled nursing facilities are among the most vulnerable members of our society. Unfortunately, these facilities often take advantage of their patients’ difficult circumstances to submit fraudulent bills to Medicare. Newman & Shapiro attorney Jeffrey Newman has a long track record of bringing successful whistleblower cases against nursing homes and their rehabilitation therapy providers who bill Medicare for therapy that was either unnecessary or not provided at all. Cases that he has brought include the following:
- a $125 million settlement to resolve allegations that RebabCare, then the nation’s largest provider of rehabilitation services in nursing homes, engaged in a variety of schemes to bill for therapy that was not reasonable and necessary, and that RehabCare then caused its nursing home customers to submit false claims to Medicare for the therapy;
- a $10 million settlement to resolve allegations that Saber Healthcare, a nursing home chain, knowingly caused certain of its skilled nursing facilities to submit false claims to Medicare for rehabilitation therapy services that were not reasonable, necessary, or skilled;
- a $4 million settlement to resolve allegations that Encore Rehabilitation had policies and practices at three Michigan skilled nursing facilities that resulted in the provision of unreasonable, unnecessary, or unskilled rehabilitation therapy or the recording of therapy minutes as individual therapy when concurrent or group therapy was actually provided; and
- a $3.9 million settlement to resolve allegations that nursing home chain Wingate Healthcare submitted false claims to Medicare for rehabilitation therapy that was not reasonable and necessary.
Whistleblowers who have worked in nursing homes, either directly or through a contract therapy provider, may have become aware of fraudulent nursing home rehabilitation therapy billing practices. If you have information about a nursing home or rehabilitation therapy company that has engaged in fraud, please contact us here or at 617-917-2875.