Nashville, Tenn.-based CareAll Management — a home healthcare agency — has agreed to pay the government $9.375 million to resolve allegations that it overbilled Medicare.
The United States filed suit in 2009, claiming the company fraudulently submitted eight cost reports for fiscal years 1999, 2000 and 2001 to support its Medicare billings.
The government alleged those who submitted the cost reports knowingly hid the relationship between the management company and home health agencies. If the cost reports had disclosed the relationship, Medicare reimbursement for the company's management services would have been reduced.
The government claimed James W. Carell owned the management company while his friend, Robert Vining, served as a "sham" owner of the healthcare agencies. In court filings, the United States alleged Mr. Carell profited greatly from this relationship, as he still exerted control over the home health agencies and monetarily rewarded Mr. Vining for his participation.
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The United States filed suit in 2009, claiming the company fraudulently submitted eight cost reports for fiscal years 1999, 2000 and 2001 to support its Medicare billings.
The government alleged those who submitted the cost reports knowingly hid the relationship between the management company and home health agencies. If the cost reports had disclosed the relationship, Medicare reimbursement for the company's management services would have been reduced.
The government claimed James W. Carell owned the management company while his friend, Robert Vining, served as a "sham" owner of the healthcare agencies. In court filings, the United States alleged Mr. Carell profited greatly from this relationship, as he still exerted control over the home health agencies and monetarily rewarded Mr. Vining for his participation.
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