Are you a speech therapist, occupational therapist, physical therapist or therapy assistant who believes your nursing home is billing Medicare for therapy that isn’t right?
Therapists see what the billing office never does: what each patient needs, and what the facility bills for. Under the federal False Claims Act, an employee who reports Medicare fraud can bring a case on the government’s behalf and receive a share of what is recovered.
CASE EXAMPLE: THE GRAND HEALTHCARE SYSTEM, $21.3 MILLION
Two former employees of The Grand, a speech therapist and an occupational therapy assistant, retained Jeff Newman Law and filed a False Claims Act case in 2019. In July 2024, the Department of Justice announced a $21.3 million settlement with The Grand Healthcare System and 12 affiliated skilled nursing facilities. The case alleged fraudulent rehab therapy services and billing. The whistleblowers will receive approximately $4,047,000.
RELATED CASES WE HAVE HANDLED
– Encore Rehabilitation Services: $4 million. Allegations included unreasonable or unskilled therapy, and minutes recorded as individual therapy when concurrent or group therapy was provided.
– Saber Healthcare: $10 million, for three rehab therapists and managers.
Q&A
May a therapy assistant bring a claim? Yes. Any employee with first-hand knowledge of the fraud can.
What protections will I have from retaliation? Federal law prohibits retaliation for reporting fraud. Call us before you take any step at work.
How are legal fees structured? There is no fee unless we win.
Call 617-823-3217 for a free, confidential consultation.
