The government claims NAHC, which operates 35 skilled nursing facilities, violated the False Claims Act by submitting claims to Medicare and Tricare for medically unnecessary rehabilitation therapy services, according to the DOJ.
Margaret Gelvezon, NAHC senior vice president of reimbursement analysis, created the improper billing scheme and John Sorenson, chairman of the board, reinforced the scheme, according to the government.
Under the settlement, NAHC will pay $28.5 million, Mr. Sorenson will pay $1 million and Ms. Gelvezon will pay $500,000. NAHC will also enter into a five-year corporate integrity agreement with HHS’ Office of Inspector General.
More articles on healthcare industry lawsuits:
UConn Health to pay $185k to settle overbilling allegations
Florida teen accused of posing as physician back in custody in Virginia
7 latest healthcare industry lawsuits, settlements
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.