{"id":56905,"date":"2024-07-01T18:54:24","date_gmt":"2024-07-02T01:54:24","guid":{"rendered":"https:\/\/cjnotebook.com\/?p=56905"},"modified":"2024-07-01T18:55:20","modified_gmt":"2024-07-02T01:55:20","slug":"home-health-providers-to-pay-4-5m-to-resolve-allegedly-providing-kickbacks-to-assisted-living-facilities-and-doctors","status":"publish","type":"post","link":"https:\/\/cjnotebook.com\/?p=56905","title":{"rendered":"Home Health Providers to Pay $4.5M For Allegedly  Providing Kickbacks to Assisted Living Facilities and Doctors"},"content":{"rendered":"<p style=\"text-align: center;\"><span style=\"font-size: 22px;\"><strong>OHIO<\/strong><\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-1057 size-medium\" src=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/02\/Justice-Depart-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/02\/Justice-Depart-300x300.jpg 300w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/02\/Justice-Depart-150x150.jpg 150w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/02\/Justice-Depart.jpg 320w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">Guardian Health Care Inc., Gem City Home Care LLC, Care Connection of Cincinnati LLC, and their owner, Evolution Health LLC, have agreed to pay $4.5 million to settle allegations of violating the False Claims Act, officials announced Monday.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\"> They were accused of giving illegal kickbacks to assisted living facilities and physicians in exchange for Medicare referrals.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">The claims resolved by the settlement are allegations only. There has been no determination of liability.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">This settlement resolves allegations that, from 2013 to 2022, Guardian Health Care, Gem City Home Care and Care Connection of Cincinnati provided lease payments and other valuable benefits, including the following:<\/span><\/p>\n<ul>\n<li><span style=\"font-size: 20px;\">Wellness health services<\/span><\/li>\n<li><span style=\"font-size: 20px;\">Sports tickets<\/span><\/li>\n<li><span style=\"font-size: 20px;\">Meals to numerous assisted living facilities and their residents, as well as certain health care providers, in exchange for referrals of Medicare beneficiaries. <\/span><\/li>\n<\/ul>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-5851 alignleft\" src=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/09\/FBI-Image-300x199.jpg\" alt=\"\" width=\"300\" height=\"199\" srcset=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/09\/FBI-Image-300x199.jpg 300w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/09\/FBI-Image-90x60.jpg 90w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/09\/FBI-Image-180x120.jpg 180w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/09\/FBI-Image-95x64.jpg 95w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/09\/FBI-Image.jpg 500w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>The home health agencies then billed Medicare for the home health services they provided to the referred patients.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">The Anti-Kickback Statute prohibits the provision of remuneration with the intent to induce referrals of government health care program business.\u00a0 \u00a0<\/span><span style=\"font-size: 20px;\">It is also intended to ensure that medical providers\u2019 judgments are not compromised by improper financial incentives. <\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">Claims that are knowingly submitted in violation of the Anti-Kickback Statute are ineligible for payment and can violate the False Claims Act.<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-56372 size-medium\" src=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2024\/05\/brown-mallet-on-gray-wooden-surface-stockpack-unsplash-214x300.jpg\" alt=\"brown mallet on gray wooden surface\" width=\"214\" height=\"300\" srcset=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2024\/05\/brown-mallet-on-gray-wooden-surface-stockpack-unsplash-214x300.jpg 214w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2024\/05\/brown-mallet-on-gray-wooden-surface-stockpack-unsplash-731x1024.jpg 731w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2024\/05\/brown-mallet-on-gray-wooden-surface-stockpack-unsplash-768x1075.jpg 768w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2024\/05\/brown-mallet-on-gray-wooden-surface-stockpack-unsplash-1097x1536.jpg 1097w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2024\/05\/brown-mallet-on-gray-wooden-surface-stockpack-unsplash-1463x2048.jpg 1463w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2024\/05\/brown-mallet-on-gray-wooden-surface-stockpack-unsplash-300x420.jpg 300w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2024\/05\/brown-mallet-on-gray-wooden-surface-stockpack-unsplash-850x1190.jpg 850w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2024\/05\/brown-mallet-on-gray-wooden-surface-stockpack-unsplash-scaled.jpg 1828w\" sizes=\"auto, (max-width: 214px) 100vw, 214px\" \/><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">\u201cIt is imperative to ensure that improper financial incentives play no role in decisions regarding patient care,\u201d said Principal Deputy Assistant Attorney General Brian M. Boynton, head of the Justice Department\u2019s Civil Division. \u201cToday\u2019s resolution demonstrates the department\u2019s commitment to protecting the integrity of federal health care programs and the medical treatment received by their beneficiaries.\u201d<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">The Companies received credit under the department\u2019s guidelines for taking disclosure, cooperation, and remediation into account in False Claims Act cases. <\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">Among other actions, the Companies disclosed the conduct to the government, identified the individuals involved and assisted in the determination of losses caused to Medicare.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-56907\" src=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2024\/07\/qtq80-uFsPfD-300x224.jpeg\" alt=\"\" width=\"300\" height=\"224\" srcset=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2024\/07\/qtq80-uFsPfD-300x224.jpeg 300w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2024\/07\/qtq80-uFsPfD-1024x766.jpeg 1024w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2024\/07\/qtq80-uFsPfD-768x574.jpeg 768w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2024\/07\/qtq80-uFsPfD-1536x1149.jpeg 1536w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2024\/07\/qtq80-uFsPfD-850x636.jpeg 850w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2024\/07\/qtq80-uFsPfD.jpeg 1594w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>The investigation and resolution of this matter illustrate the government\u2019s emphasis on combating healthcare fraud, officials stated.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">One of the most powerful tools in this effort is the False Claims Act.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\"> Tips and complaints from all sources about potential fraud, waste, abuse and mismanagement can be reported to the Department of Health and Human Services at 800-HHS-TIPS (800-447-8477).<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">Trial Attorney Elizabeth A. Strawn of the Civil Division\u2019s Commercial Litigation Branch, Fraud Section and Assistant U.S. Attorney Brandi Stewart for the Southern District of Ohio handled the matter.<\/span><\/p>\n<div class=\"media entity-type-media entity-bundle-document media--document--embedded entity-document-1358866\" data-link-text-override=\"Settlement\" data-show-mimetype-and-size=\"0\">\n<div>\n<div class=\"field-formatter--media-entity-download-download-link field_media_file\" style=\"text-align: center;\"><span style=\"font-size: 20px;\"><a class=\"file file--mime-application-pdf file--application-pdf\" title=\"fully_executed_settlement_agreement.pdf\" href=\"https:\/\/www.justice.gov\/opa\/media\/1358866\/dl?inline\" type=\"application\/pdf; length=580437\">Settlement<\/a><\/span><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>OHIO Guardian Health Care Inc., Gem City Home Care LLC, Care Connection of Cincinnati LLC, and their owner, Evolution Health LLC, have agreed to pay $4.5 million to settle allegations of violating&#8230;<\/p>\n","protected":false},"author":1,"featured_media":56906,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-56905","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Home Health Providers to Pay $4.5M For Allegedly Providing Kickbacks to Assisted Living Facilities and Doctors<\/title>\n<meta name=\"description\" content=\"OHIO Guardian Health Care Inc., Gem City Home Care LLC, Care Connection of Cincinnati LLC, and their owner, Evolution Health LLC, have agreed to pay $4.5\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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