Nursing Home To Pay Millions To Settle Allegations of Medicare Fraud

A large nursing home corporation has agreed to pay $2.7 million to resolve allegations of False Claims Act violations.  According to the department of justice, the company filed Medicare claims for rehab therapy that was medically unreasonable and unnecessary.

The nursing home company operates facilities in several states throughout the country, including Virginia.  The company is accused of unnecessarily increasing patients therapy in order to meet Medicare billing goals from 2007 to June 2011.  As a part of the settlement, the company has entered into a Corporate Integrity Agreement which requires additional oversight to be exercised in the company's billing practices.

This settlement is the result of a whistleblower initiated by a former employee of the facility. The Department of Justice says they will not tolerate false medicare claims, especially in today's economic climate. Since 2009, the Department of Justice has recovered over 10 billion dollars in health care fraud cases. For more, read the story.


Robert W. Carter, Jr. is a Virginia attorney whose law practice is dedicated to protecting the rights of the victims of nursing home and assisted living neglect and abuse in Richmond, Roanoke, Norfolk, Lynchburg, Danville, Charlottesville, and across Virginia.

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