ATLANTA – England Associates, L.P. d/b/a New London Health Center (“New London”) agreed to pay $400,000.00 to resolve allegations that it knowingly submitted false claims to Medicare for rehabilitation therapy services that were not reasonable, necessary, and skilled. The settlement amount was based on New London’s ability to pay.
“Nursing home facilities provide important services to our elderly; however, those facilities must uphold the trust placed in them by billing the government only for reasonable and necessary services,” said U.S. Attorney Kurt R. Erskine. “This settlement demonstrates our continuing efforts to protect patients and taxpayers by ensuring the that the care provided to beneficiaries of government-funded health care programs is dictated by clinical needs, not a provider’s fiscal interests.
“When funds from programs like Medicare are not used as intended, taxpayers and people who are entitled to those funds suffer,” said Philip Wislar, Acting Special Agent in Charge of FBI Atlanta. “This settlement is the result of the FBI’s commitment to work with our federal and state partners to ensure that federally funded healthcare programs are not abused by providers.”
“The provision of medical services should be based on a patient’s medical needs rather than the financial interests of providers,” said Special Agent in Charge Tamala E. Miles of the Department of Health and Human Services Office of Inspector General (HHS-OIG). “Working closely with our law...
QUEENSLAND— A nurse in Australia has been formally reprimanded after admitting he submitted forged documents to Qantas (QF) in an attempt to secure a refund for a non-refundable airline ticket. Th...