US Attorney’s Office and Polyclinic Resolve Allegations It Violated the ADA
The US Attorney’s Office and the Polyclinic, d/b/a Optum Care Washington, has resolved allegations one of its medical facilities failed on multiple occasions to provide…
CMS Announces FY 2027 SNF VBP Program December 2025 Quarterly Reports
According to the Centers for Medicare & Medicaid Services (CMS), the December 2025 Quarterly Confidential Feedback Reports for the FY 2027 Skilled Nursing Facility Value-Based…
Justice Department Acknowledges Texas’s Reform Completion at 13 Facilities
Today, the Justice Department joined with the State of Texas in asking a federal district court to dismiss a long-running case that saw the State…
Nurse Practitioner Sentenced for Healthcare Fraud and Unlawful Drug Distribution
Acting United States Attorney John A. Sarcone III announced on December 1, 2025, that a 50-year-old woman from Delray Beach, Florida, was sentenced in late…
Owner of Alaska Assisted Living Home Pleads Guilty to Medicaid Fraud
Jeffrey S. Hiett, 54, pleaded guilty to two misdemeanor counts of Medical Assistance Fraud and one count of Reckless Endangerment for conduct that occurred between…
Two Miami Men Sentenced to Prison for $28M Diverted Pharmaceuticals Scheme
Two men were each sentenced on Oct. 30 to 57 months in federal prison for their roles in two separate but related schemes involving the…
Former Oregon Nursing Home Employee Arrested for Allegedly Stealing Client Funds
Violeta Lima, a former employee of Prineville Regency Rehabilitation and Nursing Center, was arrested on December 4, 2025, for allegedly accessing client accounts without authorization…
Illinois Men Face Additional Charges for Healthcare Fraud and Money Laundering Conspiracy
Two Illinois brothers were indicted in a superseding indictment on charges related to a scheme to defraud Medicare, Medicaid, and private healthcare insurers and for…
CMS Announces Release of MDS 3.0 Quality Measures User’s Manual v18.0 and Associated Files
The Centers for Medicare & Medicaid Services (CMS) has released the MDS 3.0 Quality Measures (QM) User’s Manual Version 18.0, which is effective January 1,…
Virginia Laboratory to Pay $758,000 to Settle Allegations of Kickbacks
Clinical laboratory NEXT Bio-Research Services LLC, doing business as NEXT Molecular Analytics, of Chester, Virginia, has agreed to pay at least $758,000 to the United…