Medicare Coverage Allegedly Switched Without Consent


The United States has filed and settled a civil health care lawsuit that alleges that Plaza Rehab Center, acting at the direction of Citadel, fraudulently switched the type of Medicare coverage in which elderly residents were enrolled in order to maximize the Medicare payments that Plaza Rehab Center would receive. As alleged in the government’s complaint, the residents and their families often did not request, consent to, or know about the change to their health care coverage, which had the potential to impact their out-of-pocket payments, the scope of the services and care covered, and their drug coverage plan. Read a story from McKnight’s Long-Term Care News and a Department of Justice press release.



SMP Resource Center products often contain links to copyrighted material. The SMP Resource Center is providing these links as a convenience and for informational purposes in our efforts to report and educate on Medicare fraud; they do not constitute a guarantee, endorsement, or approval by SMP of any of the information available on the external site. SMP bears no responsibility for the accuracy, legality, or content of the external site or for that of subsequent links. If you have any questions or concerns about the links provided, please contact the SMP Center at