A False Claims Act whistleblower failed to show that Florida nursing facility Cross Garden Care Center LLC and its owner defrauded Medicare by billing for unnecessary services, the Eleventh Circuit affirmed.
A district court correctly found that Delia Bell, a former Cross Garden administrator, failed to establish that Cross Garden submitted a false claim for payment, the U.S. Court of Appeals for the Eleventh Circuit said in a nonprecedential Nov. 26 per curiam opinion.
Bell also failed to create a genuine issue of material fact as to whether Cross Garden’s treatment of patients and their claims for reimbursement were based ...
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The Centers for Medicare & Medicaid Services (CMS) and its audit contractors have the authority to suspend payments to hospice care providers suspected of submitting false claims or improperly...