A Pennsylvania medical supply company, AdaptHealth LLC, formerly known as QMES LLC, agreed to a $5.3 million settlement to resolve allegations that it had violated the False Claims Act by billing Medicare and Medicaid for expensive breathing equipment that was not prescribed to patients. The government also alleges that AdaptHealth continued billing the federal programs for the equipment after patients were no longer using them and double-billed for ventilator rentals.
The action against AdaptHealth began with a whistleblower’s complaint from a former employee, who alleged that, from 2013 to 2017, the company billed federal programs for non-invasive ventilators, when patients were actually prescribed less expensive bilevel positive airway pressure, or BiPAP, machines. The whistleblower will receive $985,000 of the settlement proceeds as the relator.
A copy of the settlement agreement can be found here.
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