Guardian Healthcare resolves allegations Boston-based Guardian Healthcare has entered into a financial settlement with MassHealth, the Massachusetts Medicaid program, according to Law360. The home-based care provider — which offers home health and home care services — agreed to pay $1.95 million to resolve allegations that it submitted Medicaid claims without physician authorization that the services were […]
Law360
At least five states are suing the Trump administration over a recently finalized rule they say would prevent home health workers paid by Medicaid from having their union dues automatically removed from their paychecks, according to Reuters. States involved in the lawsuit include California, Washington, Connecticut, Massachusetts and Oregon. The states claim the rule weakens […]
A federal judge in Connecticut on Monday OK’d four classes as part of an ongoing suit against insurance giant Humana Inc. (NYSE: HUM) and two of its affiliates, brought on by home health workers who claim they were cheated out of pay and overtime wages. In addition to Louisville, Kentucky-based Humana, the legal battle specifically […]
A recent court ruling against a home health care company could mean trouble for providers struggling financially as a result of Medicare recoupment, at least one legal expert believes. Currently, home health care providers that are overpaid for Medicare services are not required to repay the Centers for Medicare & Medicaid Services (CMS) while […]
From the pause of the federal overtime rule to putting an end to overtime for home care workers in Illinois, overtime has been a hot topic in the last year. Insurance provider Humana Inc. (NYSE: HUM) is now feeling the sting as a lawsuit asking for class certification could potentially impact thousands of home health aides employed by […]
The federal government upheld a conviction for one hospice nursing staffer who was part of a $9.5 million Medicare fraud scheme that involved overbilling for hospice services. Seven defendants were convicted earlier this year in the case against Passages Hospice, a now-closed Illinois hospice provider, for a scheme that included falsifying patient records to bilk […]
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