What is Nursing Home Fraud?
There are various kinds of nursing home fraud. The most common kinds involve Medicare/Medicaid fraud where a nursing home falsely bills for supplies covered under Medicaid. For example, a nursing home might order adult diapers, which are not covered by Medicaid, and then report it as some kind of sophisticated prosthetic, which could be covered by Medicaid. This kind of fraud can affect all taxpayers since Medicare and Medicaid are publicly funded programs. What Can I Do to Prevent Nursing Home Fraud?
Healthcare workers and people who have family members in the care of a nursing home should pay particular attention to the services being provided to patients. If the bills are inflated for services that the patient does not need, or if they overstate the services being provided, the nursing home could be violating the Fair Claims Act. If I Think a Nursing Home Is Committing Fraud, What Should I Do?
Contact a lawyer immediately to be advised of your rights and of what action you can take. If you have been over-billed for unnecessary services you may be entitled to compensation. Additionally, your lawyer may want to contact your state's attorney general to discuss the possibility of criminal charges against the nursing home.
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