Authors

Regine Lewis

Document Type

Perspective

Publication Title

Emory Corp. Governance & Accountability Rev. Perspectives

Publication Date

1-1-2018

Abstract

The government is working tirelessly to deter healthcare fraud in Skilled Nursing Facilities ('SNF'). The government is increasingly holding SNF's liable for overbilling Medicare for medically unnecessary services and billing for services that were not provided. The government believes that SNF's are committing Medicare fraud to increase profits in its facilities. To understand nursing home fraud, it is necessary to evaluate the False Claims Act (which is the leading body of law that SNF's are held liable under), how SNF's are reimbursed by Medicare, and SNF false claims liability for Medicare fraud. This Perspective will then offer ways for SNF's to increase profits legally and responsibly.

First Page

121

Volume

5

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