Latest news with #RegalCare
Yahoo
27-02-2025
- Health
- Yahoo
Chicopee police seek help locating missing man
CHICOPEE, Mass. (WWLP) – The Chicopee Police Department is asking for the public's assistance in locating a man last seen Wednesday afternoon. Massachusetts nursing homes, RegalCare, allegedly billed patients for unnecessary care Police said that Luis Morales of Chicopee was last seen at approximately 12:30 p.m. on Wednesday leaving his place of employment, located on Front Street. Luis was last seen wearing a black winter hat, black weather jacket, brown sweatpants, and blue sneakers. If you see Luis or have any information regarding his whereabouts, please contact Chicopee Detectives at 413-594-1740. WWLP-22News, an NBC affiliate, began broadcasting in March 1953 to provide local news, network, syndicated, and local programming to western Massachusetts. Watch the 22News Digital Edition weekdays at 4 p.m. on Copyright 2025 Nexstar Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.
Yahoo
26-02-2025
- Business
- Yahoo
Massachusetts nursing homes, RegalCare, allegedly billed patients for unnecessary care
BOSTON (WWLP) – The United States Attorney's Office and the Massachusetts Attorney General's Office have filed a joint complaint against 19 skilled nursing facilities (SNF) in Massachusetts and Connecticut for alleged fraudulent billing. The complaint was filed on Tuesday under the federal and Massachusetts False Claims Act against these SNFs and their present and former management companies, RegalCare Management Group, LLC, and RegalCare Management 2.0. SNFs serve as inpatient facilities providing transitional care to patients following a hospital stay. Federal healthcare programs like Medicare or Medicaid reimburse providers for medically necessary services provided to patients. Mass. man charged in connection with $30 million healthcare fraud scheme This joint complaint alleged that between 2017 and 2023, RegalCare fraudulently submitted claims to Medicare and Medicaid under the direction of owner Eliyahu Mirlis and executive Hector Caraballo. The claims were allegedly submitted for medically unnecessary and unreasonable services to RegalCare's SNF patients. The documents also state that Stern Therapy Consultants, who works for RegalCare, allegedly aided the company as a co-conspirator. usa_v._regalcare_et_al_-_complaint_and_exhibits-1Download The scheme allegedly resulted in millions of dollars of damages to the Medicaid and Medicare programs as a result. RegalCare, at Mirlis' direction, was alleged to have caused Medicare to be billed for the highest level of skilled rehabilitation therapy services at these SNFs in Massachusetts and Connecticut, despite the patients not needing those services. Caraballo allegedly altered and amended records to ensure that patient records matched the billing. The United States further stated that Stern Therapy Consultants scheduled therapists to provide unnecessary services for RegalCare patients and that Stern managers would threaten therapists if they refused to comply with the scheme. 'I am proud of our team's partnership with the USAO in this case, which advances elder justice and safeguards crucial nursing home funds,' said Massachusetts Attorney General Andrea Joy Campbell. 'My office will continue to work aggressively to protect our elders and hold companies accountable that seek to harm them or violate our false claim laws.' The U.S. and Massachusetts governments filed the complaint in a lawsuit originally filed by a whistleblower under the qui am provisions of the False Claims Act, which allows a private citizen to sue on behalf of the United States or Mass. and share in any recovery. In Massachusetts, RegalCare has facilities in Amesbury, Danvers, Greenfield, Harwich, Holyoke, Lowell, Quincy, Saugus, Taunton and Worcester. WWLP-22News, an NBC affiliate, began broadcasting in March 1953 to provide local news, network, syndicated, and local programming to western Massachusetts. Watch the 22News Digital Edition weekdays at 4 p.m. on Copyright 2025 Nexstar Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.
Yahoo
26-02-2025
- Health
- Yahoo
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
