Home Health Agency, Executives To Pay $5.8M To Resolve Medicare Billing Suits

Mealey's (November 23, 2020, 11:56 AM EST) -- WASHINGTON, D.C. — The U.S. Department of Justice announced Nov. 20 that a home health care agency and two of its executives agreed to pay $5.8 million to resolve allegations brought by former employees under the qui tam provisions of the False Claims Act (FCA), in two lawsuits in federal court in Florida accusing the defendants of engaging in a scheme to fraudulently bill Medicare for unnecessary medical treatments to elderly patients to avoid the government insurer’s low utilization payment adjustment (LUPA)....