guardian elder care settlement
“HHS-OIG will continue to work with our partners at the Department of Justice and OPM-OIG to root out fraud, waste and abuse in the Medicare and Medicaid programs.”“Subjecting vulnerable patients to unnecessary treatments for financial gain is unconscionable," said Deputy Assistant Inspector General for Investigations Thomas W. South, Office of the Inspector General-U.S. Office of Personnel Management (OPM-OIG). attorney William McSwain, who represents the Eastern District of Pennsylvania, praised Guardian for its candor during the process.“We also commend Guardian Elder Care for telling us about its employment of the excluded providers,” McSwain said in a statement. Guardian Elder Care, a nursing home operator with more than 50 buildings, will pay $15.5 million to resolve federal accusations of medically inappropriate therapy practices, the Department of Justice announced Wednesday.The Brockway, Pa.-based Guardian faced allegations — brought by a pair of former employees — that the company pressured therapists to perform unnecessary services in order to maximize reimbursements.
In some instances, the DOJ claimed, Guardian encouraged clinicians to treat residents with dementia who did not need or want rehabilitation services, as well as those receiving hospice care.The case, which covered allegations spanning from January 2011 through December 2017, was prosecuted by the U.S. Attorney’s Office for the Western District of Pennsylvania, based in Pittsburgh.“Billing federal health care programs for medically unnecessary rehabilitation services not only depletes these programs’ funds but also exploits our most vulnerable citizens,” U.S. attorney Scott Brady said in a statement announcing the deal. Learn more about the history of our agency at Pennsylvania-based nursing home chain Guardian Elder Care Holdings Inc., and its related companies, has agreed to pay nearly $15.5 million to settle claims that it … The year 2020 marks the 150th anniversary of the Department of Justice. I am proud that we were able to work with our law enforcement partners to hold Guardian Elder Care accountable for their unscrupulous behavior.”Contemporaneous with the civil settlement, Guardian agreed to enter into a chain-wide Corporate Integrity Agreement with the U.S. Department of Health and Human Services Office of Inspector General. Skilled Nursing News is part of the Receive industry updates and breaking news from SNN.Receive industry updates and breaking news from SNN. Nursing Home Operator Guardian Elder Care to Pay $15.5M in False Claims Act Settlement By Alex Spanko | February 19, 2020 Guardian Elder Care, a nursing home operator with more than 50 buildings, will pay $15.5 million to resolve federal accusations of medically inappropriate therapy practices, the Department of Justice announced Wednesday. “It is in their best interest for companies to make voluntary disclosures and emphasize compliance going forward, as my office will take this sort of cooperation into consideration when determining an appropriate resolution.”False Claims Act cases against skilled nursing operators and their therapy partners have been a common regulatory cudgel, particularly under the previous Resource Utilization Group (RUG) reimbursement system — which directly linked therapy volume with financial incentives.The new Patient-Driven Payment Model (PDPM) for Medicare nursing home reimbursements was designed in large part to remove the temptation to provide questionable therapy services for financial gain, shifting the incentive toward accurately capturing and treating resident conditions.
Under the qui tam provisions of the False Claims Act, whistleblowers Philippa Krauss and Julie White will split $2.8 million of the settlement money.Guardian — which operates facilities in Pennsylvania, Ohio, and West Virginia — must also enter into a Corporate Integrity Agreement with the Department of Health and Human Services (HHS) Office of the Inspector General (OIG).“Resident care remains our first priority and we are committed to meeting our obligations under this agreement,” Guardian chief compliance officer Patricia McGillan said in a statement provided to SNN.
Look At Me Asl, Rowan Trollope Salary, Nokia Wifi Login, The Office Alliance Gif, Working At Google Salary, Lower Susquehanna Musky, Nicola Stevens Oxford, Crewe Alexandra Stadium Seating Plan, Do Crappie Eat Bluegill, Top Banana Llc, Canon Eos Utility Webcam, It's A Long Way Home Song, Mamma Italia Dayton, Oregon Menu, Chippewa Campground Illinois, Razor Motorcycle Mx400, Emerging La Artists, Billie Shepherd Net Worth, Wnba Original Logo, Renee Olstead Tour, Patty Griffin - Rain Chords, Where Are Flow Faucets Made, Dave Bing Business, Lytic Medical Term, Betty Burger Seabright Menu, Cathay Pacific Exchange, Braun Thermoscan Ear Thermometer With Exactemp Technology, Best Lures For Canada Fishing, Vst Plugins Obs, Hurst Castle Images, Jelani Mccoy High School, Marie Osmond Music Videos, Task Force Radio, Cube Js Alternatives, Shaw Self Connect Kit Instructions, Graham Arnold Salary, Marcy Home Gym Academy, Jim Sensenbrenner Committees, Bulgaria Women's Volleyball Team 2019 Roster, St Moritz Sparta, Exhibit Word Meaning In Tamil, Acer Aspire 5 I7 Review, Sturgill Simpson Netflix, Blake Griffin Dad, United Insurance Company Phone Number, Wealthsimple Vs Wealthsimple Trade, How To Draw A Peacock Bass, Awesome Asl Gif, Grant School Website, Molly Thomas Dave Thomas,
