U.S. Attorney Settles Civil Fraud Claims Against Nurse Service For Obtaining Millions In Medicaid Payments

Medicare and Medicaid fraud is by far the largest area of abuse and enforcement under the False Claims Act. It’s an outrage that a company would bill the government for purported treatment of hundreds and hundreds of patients who did not qualify for payment on such treatments. Billing for unnecessary medical services is fraud. Whistleblowers are often the only mechanism by which this theft of Medicaid dollars is detected. — Shayne Stevenson

"WPreet Bharara, the United States Attorney for the Southern District of New York, and Thomas O'Donnell, Special Agent in Charge of the U.S. Department of Health and Human Services, announced today that the United States has settled civil fraud claims under the False Claims Act against Visiting Nurse Service of New York, VNS Choice, and VNS Choice Community Care... VNS improperly billed the Medicaid program for 1,740 members whose needs did not qualify for the managed care plan." Full article »