Skilled Nursing News February 26, 2025
Nineteen nursing homes in Massachusetts and Connecticut have been named in a joint complaint alleging systematic fraudulent billing of Medicare and Medicaid for unnecessary care.
The facilities, along with present and former management companies RegalCare Management Group, RegalCare Management 2.0, owner Eliyahu Mirlis and executive Hector Caraballo, and therapy company Stern Therapy Consultants were involved in alleged fraud, according to the complaint filed by the U.S. Attorney’s Office and Massachusetts Attorney General’s Office.
Between 2017 and 2023, RegalCare, at the direction of Mirlis and Caraballo and aided by the therapy company, fraudulently caused the submission of claims to Medicare and Medicaid for medically unreasonable services to patients in the 19 facilities, the complaint alleges.
The scheme resulted in millions of...
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