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Medicare Compliance & Reimbursement

Industry Notes:

National HHA Chain Settles Fraud Charges For $150 Million

Published on Mon Sep 05, 2011

It's not just Medicare fraud that comes with a big price tag. National chain Maxim Healthcare Services has agreed to pay $150 million for submitting fraudulent claims to Medicaid and the Department of Veterans Affairs. Privately owned Maxim admitted to submitting Medicaid and VA claims for services that were never rendered from October 1998 to May 2009, according to a release from the Department of Justice. The Columbia, Md.-based national chain admitted to creating and modifying time sheets to support the false claims; submitting claims through licensed offices for services actually supervised through 13 unlicensed locations; and creating or modifying documentation about caregiver training and qualification requirements. Under the settlement with the DOJ, Maxim must pay $20 million in criminal fines and $130 million in civil fines to the federal government, 42 states, and the VA. The company filed about $60 million in false claims, the DOJ says. Eight former [...]
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