tci Medicare Compliance & Reimbursement - 2006 Issue 23

ENFORCEMENT: Feds Base False Claims Charges On Erroneous Cost Report

And an act of Congress couldn't hurt.A lawsuit to challenge a cost report disallowance backfired on Visiting Nurse Association Health Care Services Inc. (VNA) in Staten Island, NY. The VNA is paying $1.6 million to settle Medicare fraud charges, according to a release from U.S. Attorney Roslynn Mauskopf.The government filed False Claims Act (FCA) countercharges when the VNA brought a federal court lawsuit to recover disallowed aide costs on its 1995 and 1996 cost reports. The agency "improperly included non-Medicare like costs in calculating the costs of home health aide visits," the release says...

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