Two Tennessee Nurses Uncover $230 Million Nursing Home Fraud

Two Tennessee Nurses Uncover $230 Million Nursing Home Fraud

LeAnn Holt and Kristi Emerson, occupational therapists from Columbia, Tennessee, collected evidence that pointed to their employer defrauding Medicare.

Their employer Signature Healthcare operates over 100 facilities in 17 states and settled the case to the tune of a $230 million fine.  However, Signature Healthcare did not admit wrongdoing in the settlement.

Holt and Emerson collected anecdotes and documents for years and filed the lawsuit three years ago.  They accused Signature Healthcare of artificially inflating therapy time in order to defraud Medicare.  Care was also withheld from patients when the facilities had reached their quotas to receive the maximum amount of Medicare dollars.

The two therapists were told to have odd and long therapy sessions.  Holt and Emerson’s breaking point occurred when they were ordered to provide a four-hour therapy session to a patient too sick to receive treatment.

The U.S. Attorney’s office found that the therapy was “unreasonable” and “unnecessary”, and Signature Healthcare was providing the minimum amount of care required to meet the higher reimbursement levels.

The settlement money will be split between the federal government, the state TennCare system and Holt and Emerson.

The two whistleblowers began collecting the evidence in part because they believed that the practices might result in them getting punished.  But, thanks to their work, those in the Signature Healthcare system will now receive better care, and they were rewarded rather than punished for their brave work.  They will split $6 million dollars of the settlement.

 

Unfortunately, Holt and Emerson were let go by Signature Healthcare and they have not been able to hold down stable jobs since whistleblowing.  However, they hope that their case inspires other health care workers to take a stand against other illegal or immoral practices that may be occurring in their workplace. 

We can Help! Our local advisors can help your family make a confident decision about senior living.

Call: 800-997-1342

ABOUT THE AUTHOR

Alec Pronk
Alec Pronk

Political writer who also enjoys playing and watching soccer, basketball and chess. I also enjoy teaching English as a Foreign Language among other subjects.

Popular news

Catherine Marucci

Aug 6, 2018

Is a Tiny Home a Retirement Housing Option?

As we get older, a large house can become cumbersome. In addition to there being a lot to maintain and clean, accessibility issues may also arise if there

Read More
Is a Tiny Home a Retirement Housing Option?

Jodelle Maglaya

Jul 22, 2018

Doctors Rely on Data and "Gut Feeling" to Determine Medical Decisions

As artificial intelligence is on the rise and many senior citizens are seeking medical care, many are wondering if technology itself can make the best decisions for patients. MIT computer

Read More
Doctors Rely on Data and "Gut Feeling" to Determine Medical Decisions

Alec Pronk

Jul 27, 2018

Google Targets Seniors for Nest Smart Home Sales

Residents in assisted living facilities and nursing homes may soon see Google’s Nest product in their homes as the company aims to push into the senior citizen market.  The Nest

Read More
Google Targets Seniors for Nest Smart Home Sales
All copyrights reserved © 2018 • Design and Development Boomers Assistance Facilities