LYNCHBURG, Va. –1st Adult & Pediatrics Healthcare Services, headquartered in Fairfax, Virginia, has agreed to pay $3,000,000 to resolve allegations that it violated the False Claims Act by engaging in fraudulent billing activities between January 2017 and May 2021 with regards to pediatric in-home health, personal care, and related services.
From 2017 and continuing through May 2021, 1st Adult & Pediatrics billed Virginia Medicaid for reimbursements for in-home health care services for pediatric patients who were actually hospitalized at the time the in-home services were billed. In addition, 1st Adult & Pediatrics routinely billed Virginian Medicaid for home health services that were not actually provided.
“The Medicaid and Medicare systems are important safety nets for many in our communities, especially vulnerable patients, like the seriously ill children involved in this case. We must do our part to keep them free of waste, fraud, and abuse,” Principal Deputy United States Attorney Zachary T. Lee said today. “I am grateful for our partnership with the Virginia Medicare Fraud Control Unit and the Department of Health and Human Services in resolving this matter.”
“Those who take advantage of Virginians during some of their most vulnerable times must be held accountable. Thanks to the excellent work done by my office and our federal partners, this organization will have to answer for its illegitimate billing methods that exploited hospitalized pediatric...
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