Waco-based Providence Park, Inc., known as Ascension Living Providence Village, and Ascension Providence, previously Providence Health Services of Waco, are set to pay a hefty sum in a settlement with the government. In total, the organizations have agreed to cough up over $6.5 million to resolve claims of violating the Federal False Claims Act and Texas Health Care Program Fraud Prevention Act. The issue at hand revolves around allegations that the skilled nursing facility and acute care hospital submitted false claims to federal healthcare programs, including billing for medically unnecessary services.
Acting U.S. Attorney Margaret F. Leachman of the Western District of Texas did not mince words when describing the misconduct, emphasizing the importance of holding providers accountable. She stated, "My office will hold providers accountable when they submit inaccurate claims or seek reimbursement for medically unnecessary services," as reported by the U.S. Department of Justice's website. It should be noted, however, that the claims resolved by the settlement are allegations only, with no determination of liability being made.
The allegations specifically accuse Providence Park of submitting false Ultra-High Resource Utilization Group therapy claims and Ascension Providence of billing individual outpatient therapy services while apparently providing group therapy, among other transgressions. Furthermore, according to the allegations, services were billed without a...
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