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: Medicare Fraud 101

Texas-Based Nursing and Rehabilitation Centers to Pay U.S. $4 Million for Alleged False Medicare and Medicaid Billings

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Regency Nursing and Rehabilitation Centers Inc. nursing home chain will pay the United States $4 million to settle allegations that Regency submitted false claims to Medicare and the Texas Medicaid program, the Justice Department and the U.S. Attorney’s Office for the Southern District of Texas announced May 21, 2009. The Victoria, Texas-based chain currently owns and operates 24 nursing home facilities located through the state, according to the release.

The False Claims Act settlement resolves allegations that Regency submitted claims for reimbursement to Medicare and Medicaid for rehabilitation and skilled nursing services that were not reimbursable because the nursing home residents were not qualified for the services, the services were not medically necessary, or they were not supported by adequate documentation, according to the release.

For the full press release, go to: US DOJ.

For more information about Qui Tam law and Health Care Fraud, contact Nolan and Auerbach, PA.

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Full post as published by Medicare Fraud 101 on May 21, 2009 (boomark / email).

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