tci Medicare Compliance & Reimbursement - 2005 Issue 6

Enforcement Watch: Billing Practices That Could Disable Rehab Facilities

Why one company will end up doling out hundreds of millions to the fedsAttention, hospitals: The Department of Justice is keeping close watch of billing compliance for physical therapy services and inpatient rehab admissions.Case in point: The nation's largest provider of rehabilitative medicine will pay $325 million to resolve allegations that it defrauded Medicare, the DOJ announced Dec. 30. Four whistleblowers who filed lawsuits against HealthSouth Corporation will share a reward of more than $12 million. According to investigations, the agreement settles allegations that HealthSouth submitted the following to Medicare and TRICARE: claims for outpatient physical therapy services...

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