The settlement resolves allegations of AdaptHealth, formerly known as QMES and Tri-County Medical Equipment and Supply, billing payers for noninvasive ventilators “when a patient was instead prescribed and used a BiPAP machine — for which federal payers reimburse suppliers thousands of dollars less per year,” the Justice Department said in a news release.
The case also accused AdaptHealth of billing insurance companies for ventilators after patients stopped using them and of double-billing payers for ventilator rental between 2013 and 2017.
A former QMES employee filed the whistleblower lawsuit and will receive about $950,000.
AdaptHealth did not claim liability.
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