Tag Archives: Medicare Laws

Deficient Services Finding Can Be a Basis for a False Claims Suit

Deficient Services Finding Can Be A Basis For A False Claims Suit In United States v. Houser and Houser, a 2011 federal criminal court case from Northern Georgia, the United States levied criminal false claim indictments against the Housers for billing for nursing home services that the government claimed were so “deficient” that to bill them constituted…
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The Improvement Standard Under Jimmo v. Sebelius

For decades, Medicare beneficiaries, mainly those with long-term or debilitating conditions or those who need rehabilitation services have been denied necessary care based on the "Improvement Standard." This is an illegal practice by CMS and its contractors that has resulted in Medicare coverage for vital care being denied to thousands of individuals on the grounds that…
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