Intrepid USA, along with several whole-owned subsidiaries, recently reached a $3.85 million settlement with the United States Department of Justice (DOJ) to resolve allegations that the nationwide home healthcare and hospice provider violated the False Claims Act (FCA) in connection with two lines of its business. Intrepid provides home health and hospice care services to Medicare beneficiaries in multiple states, including Minnesota, Kentucky, Texas, Indiana, Georgia, and South Carolina.
According to the government, between 2016 and 2021, Intrepid home health care facilities submitted claims to Medicare for home health services for patients who did not qualify or were not properly certified as eligible for the Medicare home healthcare benefit, where the services provided were not reasonable or medically necessary, where the services were provided by untrained staff, or where services were not performed.
Additionally, the government alleged that during the same time period, three Intrepid hospice facilities admitted patients to hospice care that were ineligible for the Medicare hospice benefit because they did not have a medical prognosis for life expectance of six months or less if the patients’ illness ran its normal course, or continued to provide services to patients who should have been discharged because they no longer met the requirements for the Medicare hospice benefit.
The claims were initially brought under the qui tam provisions of the FCA in two different...
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