Life Care Centers Of America Corporate Integrity Agreement

Prosecutors claimed that “every level of corporate hierarchy” of Life Care incits employees to increase Medicare revenue. Some patients who underwent therapy were terminally ill, ill or medically unstable, according to the lawsuit filed by the Department of Justice in Tennessee Federal Court. Killian said the Nashoba Valley home provides quality care under difficult circumstances and that the company`s directors and officers have regularly turned to public health and government authorities. He said local politicians and others had created “relentlessness” in the community by claiming that Life Care had not properly reported the spread of the infection. As part of the government`s complaint, she argued that Life Care has company-wide policies and practices in place to maximize reimbursements at the “Ultra High” level – for patients who receive the highest level and the highest number of qualified therapies – regardless of the actual needs of patients. He also criticized the company for keeping patients longer than necessary or advised by treating therapists in rehabilitation therapy. KNOXVILLE, Tennessee (usyn. – The Life Care Centers of America, Inc. (Life Care), based in Cleveland, Tennessee, and their owner, Forrest L.

Preston, agreed to pay $145 million to settle a government complaint claiming that Life Care violated the False Claims Act by knowingly inciting qualified care facilities (SNFs) to make false claims to Medicare and TRICARE for rehabilitation therapy services that were not appropriate. necessary and/or qualified, the Ministry of Justice announced today. This resolution is the largest colony with a qualified chain of care in the history of the department and the largest civilian false claims act in the Eastern District of Tennessee. “This resolution is the largest agreement with a chain of qualified care facilities in the history of the ministry,” said Deputy Attorney General Benjamin C. Mizer, head of the Justice Department`s civilian department. “It is essential that we protect the integrity of public health programs by ensuring that services are provided on the basis of clinical, not financial, considerations.” “Not only does billing federal health programs for medically unnecessary rehabilitation services undermine the viability of those programs, but also benefits our most vulnerable citizens,” said Nancy Stallard Harr, U.S. Attorney for the Eastern District of Tennessee. “We are committed to working with our federal partners to protect both.” In 1999, HHS Medicare`s inspector general reviewed claims from Life Care homes in Tennessee and ordered the return of US$1.6 million, according to the report.

Investigators found that Life Care had been charged for “inappropriate services,” including eight occupational therapy dates for an 84-year-old resident in a semi-comatose condition. The federal government has yet to publish deaths in nursing homes across the country, but state data has put that figure in the thousands. In early March, CMS temporarily canceled routine inspections of the 15,000 Medicare-certified nursing homes in the U.S. to focus most on infection control failures. These include allegations that the Chicago-based network operator Esformes of nursing homes and health care facilities in Florida Medicare and Medicaid in 14 years for $1 billion in what the DOJ called this summer “the largest criminal fraud in the health field ever indicted by the Department of Justice against individuals.” Most recently, nursing pharmacy Omnicare agreed to pay $28.1 million to respond to charges it had requested and received from drugmaker Abbott Laboratories. This followed PharMerica Pharmacy, which agreed to pay $9.2 million in 2015 for alleged bribes from Abbott. Life Care also said the Justice Department “does not associate alleged business practices with actual claims or individuals involved in filing false allegations.” “My promise is that our institution will be a model of cooperation and communication,” he said.