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Amedisys to pay $150M for false Medicare claims

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Posted: Apr 23, 2014 1:29 PM by Russell Jones
Updated: Apr 23, 2014 3:09 PM
Source: WBRZ

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Topics: amedisys, medicare fraud, settlement, health care

BATON ROUGE - The Department of Justice announced Wednesday that Amedisys Inc., a Baton Rouge-based home health care provider, agreed to pay $150 million to resolve allegations they filed false Medicare claims.

The federal government said between 2008 and 2010 Amedisys improperly billed Medicare for ineligible patients and services, and misrepresented patients' situations in order to boost payments according to the DOJ.

"It is critical that scarce Medicare home health dollars flow only to those who provide qualified services," said Stuart F. Delery, Assistant Attorney General for the Civil Division. "This settlement demonstrates the department's commitment to ensuring that home health providers, like other providers, comply with the rules and don't misuse taxpayer dollars."

Prosecutors noted that the settlement does not admit guilt. The settlement also ends seven whistleblower lawsuit brought against Amedisys, mostly by former employees, who will collectively split more than $26 million.

Amedisys is one of the biggest home health service providers in the U. S., operating in 37 states, the District of Columbia and Puerto Rico. The company said in an emailed statement they disputed the claims, but settled to "avoid the cost and uncertainty inherent in protracted litigation."

"We are pleased to put this matter behind us," said Ronald A. LaBorde, President and Interim Chief Executive Officer.

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