Tennessee Supreme Court Upholds Jury Verdict Against Assisted Living Facility For Wrongful Death Resulting From Understaffing

Nursing Homes, Personal Injury, Wrongful Death

In a unanimous decision, the Tennessee Supreme Court reinstated a jury verdict against an assisted living facility, finding that there was material evidence to support the jury’s determination that understaffing at the facility caused the death of a resident....

Social Worker Receives $160,000 For Exposing Ambulance Transport Fraud

False Claims Act, Whistleblower

A clinical social worker will receive $160,000 for filing a whistleblower lawsuit that exposed a fraudulent scheme in which Medicare was improperly billed for routine, non-emergency ambulance transports that were not medically necessary.  According to the allegations...

Doctor Receives $4,046,000 For Filing Whistleblower Lawsuit

False Claims Act, Whistleblower

A pathologist who formerly worked at a clinical laboratory will receive $4,046,000 as a reward for filing a whistleblower lawsuit that exposed fraudulent Medicare billing practices, including the payment of illegal kickbacks and the billing of medically unnecessary...

Skilled Nursing Facility To Pay $700,000 To Resolve False Claims Act Allegations

False Claims Act, Whistleblower

Fairfax Nursing Center, a skilled nursing facility based in Fairfax, Virginia,  and its owners have agreed to pay $700,000 to resolve allegations that they violated the False Claims Act by knowingly submitting or causing the submission to Medicare of false claims for...

New Medicare Regulations Require Face-To-Face Physician Encounters For Durable Medical Equipment Orders

False Claims Act

The Center for Medicare & Medicaid Services (“CMS”) recently published a final rule implementing several changes to policies relating to payment of physicians.  Among the changes is a new requirement that certain items of durable medical equipment (“DME”) can only...