SNF to Pay More Than $30 Million to Settle Medicare Suit Signature HealthCARE, LLC (Signature) will pay more than $30 million to resolve allegations that it illegally boosted profits by providing excessive amounts of therapy to patients whether they needed it or not. The Louisville, Kentucky-based owner and operator of approximately 115 skilled nursing facilities allegedly violated the False Claims Act ... News in Brief
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News in Brief  |   September 01, 2018
SNF to Pay More Than $30 Million to Settle Medicare Suit
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Special Populations / Older Adults & Aging / Healthcare Settings / Practice Management / News in Brief
News in Brief   |   September 01, 2018
SNF to Pay More Than $30 Million to Settle Medicare Suit
The ASHA Leader, September 2018, Vol. 23, 10. doi:10.1044/leader.NIB1.23092018.10
The ASHA Leader, September 2018, Vol. 23, 10. doi:10.1044/leader.NIB1.23092018.10
Signature HealthCARE, LLC (Signature) will pay more than $30 million to resolve allegations that it illegally boosted profits by providing excessive amounts of therapy to patients whether they needed it or not.
The Louisville, Kentucky-based owner and operator of approximately 115 skilled nursing facilities allegedly violated the False Claims Act by knowingly submitting false claims to Medicare for rehabilitation therapy services that were unreasonable, unnecessary and unskilled. The allegations claim that Signature:
  • Automatically placed patients in the highest therapy reimbursement level, rather than using individual evaluations to determine the most appropriate level of care.

  • Provided the minimum number of therapy minutes for a given reimbursement level and discouraged additional therapy beyond that minimum threshold.

  • Pressured therapists and patients to complete the planned minutes of therapy even when patients were sick or declined to participate.

The lawsuit was filed in federal court by two former Signature employees under provisions of the False Claims Act. This legislation allows private individuals to sue on behalf of the government for false claims and to share in any recovery. The act also allows the government to intervene and take over the action, as it did in this case.
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FROM THIS ISSUE
September 2018
Volume 23, Issue 9