Whistleblower / False Claims Act

In 2013, U.S. government investigators found numerous examples of poor quality of care, including services related to wound and medication management. The analysis built on a separate report from 2013 that showed Medicare paid $1.5 billion more to nursing homes than they were owed in 2009 because the facilities erroneously billed a quarter of their claims.

Daniel Levinson, the inspector general, said in his report, “These findings raise concerns about what Medicare is paying for.”

Reviewers stated that Medicare paid over $5 billion to nursing homes in 2009 that failed to meet quality-of-care requirements, U.S. government investigators said. In 2012, Medicare paid $32.2 billion to nursing home.

The inspector general today recommended that the Centers for Medicare and Medicaid Services strengthen regulations on care planning, increase surveillance of underperforming nursing facilities and more directly link pay to performance.

Fraud-Against-the-Government Lawyers

We represent individuals in a wide range of federal and state False Claims Act cases. Lieff Cabraser successfully settled a case against a chain of nursing homes for violating importation state laws designed to protect nursing home residents. We have the resources, experience, and skill to appropriately investigate even the largest and most complex matters and take them all the way through trial. Learn more about our work in helping individuals expose and stop fraud against the government and obtain meaningful recoveries.