United States Ex Rel. Prather v. Brookdale Senior Living Cmtys., Inc.
Court of Appeals for the Sixth Circuit
1Opinion of the CourtMoore, J., joined by Donald, J.,
McKEAGUE, J. (pp. 838-53), delivered a separate dissenting opinion.
OPINION
KAREN NELSON MOORE, Circuit Judge.
Brookdale Senior Living Communities employed Marjorie Prather to review Medicare claims prior to their submission for payment. Many of these claims were missing the required certifications from physicians attesting to the need for the medical services that the defendants had provided. These certifications need to "be obtained at the time the plan of care is established or as soon thereafter as possible." 42 C.F.R. § 424.22 (a)(2). But the defendants were allegedly obtaining…
Also in this document: Dissent.
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