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Witnessed Medicare/medicaid Fraud In Nursing Home

I work in the rehab department in a skilled nursing facility where I’ve witness multiple accounts of billing fraud from a regional rehab manager. I’ve read up on other whistleblower/qui tam cases with very similar claims of fraud, negligence, pressure from management to bill as much as possible and pushing therapy even though we deem the resident is not appropriate for it.

Recently witnessed the regional rehab manager bill for a patient 2 days in row who had passed away. They’ve since inactivated those billing documents but that’s really bad! That means they never went to the patient’s room to see they passed away.

As therapist we recommend someone is ready to discharge home and often the building doesn’t listen and they just use up their Medicare a benefits (100 days). Even tho we kept pushing for discharge weeks before. If we have missed visits they get mad at us and say we need to keep seeing them.

This building also never has supplies. Right now they never have clean linens to perform morning ADL routines for all residents. Many are sitting in their urine/feces for hours on end.

This is just some of the things myself and 2 other coworkers have witnessed in this building. I’m wondering if this could be a legit case under the Fraud Claims Act? I know I could fuck up career if I say something. And that this type of fraud is rampant among skilled nursing facilities.

Just hoping for some insight! Thank you!

Location: DC

submitted by /u/OkAdministration9612
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Witnessed Medicare/medicaid Fraud In Nursing Home

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