tci Medicare Compliance & Reimbursement - 2003 Issue 35

Long-Term Care: QUALITY OF CARE ISSUES CAN LEAD TO FALSE CLAIMS ACT PROBLEMS

Nursing homes can't afford to forget that perceived quality-of-care problems could leave them facing possible False Claims Act charges. U.S. Attorney Patrick Meehan's office in Philadelphia has been particularly aggressive with these so-called "failure of care" cases, and on Aug. 28 Mary J. Drexel Home in Bala Cynwyd, PA became the eleventh nursing facility in eastern Pennsylvania to settle such charges. The 30-bed home agreed to pay the government $75,000 and set up a $25,000 fund to enhance the quality of care provided to residents. The feds maintained that Mary J. Drexel improperly billed Medicare and...

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