26-02-2025
RegalCare at Worcester among nursing facilities cited in Medicare and Medicaid fraud case
A New Jersey skilled-nursing management company, with a location on Oriol Drive in Worcester, is being accused of billing Medicare and Medicaid for unreasonable and unneccessary services.
The allegations against RegalCare Management are outlined in a complaint filed by the Massachusetts U.S. Attorney's Office and the state Attorney's General's Office.
RegalCare at Worcester, 25 Oriol Drive, is one of 19 skilled nursing facilities reviewed by the agencies.
The complaint alleges that "RegalCare systematically caused Medicare to be billed for the highest level of skilled rehabilitation therapy services at RegalCare's facilities in Massachusetts and Connecticut, despite patients not clinically needing those services," according to a news release from the office of U.S. Attorney Leah B. Foley.
The complaint references RegalCare owner Eliyahu Mirlism, company executive, Hector Caraballo and Stern Therapy Consultants, which works with RegalCare.
The facilities in the complaint provide transition care to patients following a hospital stay. Government programs, notably Medicare and Medicaid, reimburse such facilities, based on submitted claims.
A request for comment from RegalCare was not immediately answered.
This article originally appeared on Telegram & Gazette: RegalCare at Worcester cited in Medicare and Medicaid fraud case
