Nursing Homes Receive Political Support To Overbill Medicare & Medicaid Despite Violations

Politicians are receiving attention for pushing Medicare and Medicaid reimbursements to occur even when facilities have been cited for violations.  Facilities must meet quality of care criteria to receive Medicare and Medicaid payments towards their patients. Some of the facilities with up to 33 facilities violations had payments reinstated after calls from congressmen were made to the Centers for Medicare and Medicaid Services (CMS) regarding a hold on funding.

CMS auditors have called out the politicians saying they want them to have large businesses such as nursing homes in their districts, in addition to the desire for the campaign contributions often provided by nursing home facilities. “More than a dozen former investigators and CMS officials said in interviews that they faced questions from members of Congress about policy changes or punitive action affecting providers or individual doctors,” said the auditors.  For more, read the story.


Robert W. Carter, Jr. is a Virginia attorney whose law practice is dedicated to protecting the rights of the victims of nursing home and assisted living neglect and abuse in Richmond, Roanoke, Norfolk, Lynchburg, Danville, Charlottesville, and across Virginia.

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