Nursing Home to Pay $15.4 Million in Case

A Pennsylvania-based nursing home has agreed to pay more than $15.4 million to resolve mounting allegations of over billing for medically unnecessary rehabilitation therapy services. The Department of Justice said that the False Claims Act allegations involved over billing Medicare and the Federal Employees Health Benefits Program from 2011 through 2017.

The company was accused of having multiple facilities throughout Pennsylvania, West Virginia, and Ohio bill for patients at the highest level of Medicare reimbursement “when services at that level were not medically necessary and were influenced by financial considerations rather than resident needs," federal authorities said.

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