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Call 312-863-7222 or contact us online.

Nursing Home and Hospice Fraud

Nursing homes and hospice facilities – like all health care providers – are susceptible to health care fraud, including Medicare and Medicaid fraud, upcoding, and illegal kickbacks. Often times, questionable billing practices and other misconduct by nursing homes and hospice care facilities violate the False Claims Act. If this is the case, the whistleblower who reports the fraud may be entitled to financial compensation for coming forward to report the fraud.

The whistleblower attorneys at Goldberg Kohn represent whistleblowers in a wide variety of health care fraud cases, including those involving nursing home or hospice fraud, hospital fraud, Medicare and Medicare fraud, and pharmaceutical fraud. If you would like to discuss a possible False Claims Act case, contact us online to schedule a free, confidential appointment with one of our whistleblower attorneys.

Fraud committed by nursing homes and hospice facilities can take a number of forms, including the following:

  • Medicare or Medicaid Fraud. Medicare’s hospice benefits provides palliative care to terminally ill patients, and some nursing home and hospice facilities have used these provisions as a means of financial gain.

  • Overbilling. If a doctor or health care provider charges Medicare or Medicaid inflated prices for services or medications, or charges for services or medications that were not actually provided, the misconduct may give rise to a False Claims Act case.

  • Kickbacks. Health care laws restrict the financial relationships that nursing homes, hospice facilities, doctors, hospitals, and other health care providers can have with doctors who refer patients to them.  If a nursing home makes improper kickbacks or offers financial incentives for the referral of Medicare or Medicaid patients, the False Claims Act comes into play. For instance, in 2014, Omnicare agreed to settle allegations that it solicited and received kickbacks from the drug manufacturer Amgen Inc. in return for implementing “therapeutic interchange” programs that were designed to switch Medicaid beneficiaries from a competitor drug to Amgen’s product Aranesp. 

  • Unnecessary Medical Procedures. If a nursing home or hospice facility orders unnecessary medical procedures to be billed to Medicare or Medicaid, the False Claims Act may be implicated.  

The whistleblower attorneys at Goldberg Kohn are committed to protecting the rights of whistleblowers and fighting nursing home and hospice fraud, as well as other types of healthcare fraud. If you suspect health care fraud, or would like to discuss a possible False Claims Act case, contact us online to schedule a free, confidential appointment with one of our whistleblower attorneys.

Attorneys at Law

55 East Monroe Street
Suite 3300
Chicago, Illinois 60603-5792
Tel: 312-863-7222
Fax: 312.332.2196

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