Are Skilled Nursing Services Dishonestly Billing Medicare?

A general way that these skilled nursing services have dishonestly billed Medicare is by improperly using the Resource Utilization Group (“RUG”) Rates.

These services are a necessary part of making better the health among the elderly and the disabled. Although, certain skilled nursing services and rehabilitation centers have taken advantage of Medicare beneficiaries by falsely billing the Medicare program.

A general way that these skilled nursing facilities have fraudulently billed Medicare is by improperly using the Resource Utilization Group (“RUG”) Rates. The way this is implemented is by placing Medicare beneficiaries in larger levels of RUG categories in case to make sure the rehabilitation center receives higher amounts of compensation from the Medicare program. This also negatively impacts those Medicare beneficiaries since it leads to unessential therapies that could even hurt the sufferers.