FWA- Birmingham company to pay $153,300 on false Medicaid claim allegations

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[MM Curator Summary]: A software design error caused Connecticut to overbill for ABA services.


Clipped from: https://www.al.com/business/2023/01/birmingham-company-to-pay-153300-on-false-medicaid-claim-allegations.html

Birmingham-based Amvik Solutions is paying $153,300 to resolve allegations that it submitted false claims for payment to Connecticut’s Medicaid program, federal officials announced today.

Federal officials announced the civil settlement with the government, which resolves allegations under the federal False Claims Act. The case involved the Justice Department, the Department of Health and Human Services and the Federal Bureau of Investigation.

Amvik Solutions offers billing, claims and collection services for healthcare providers throughout the U.S., using its proprietary WebABA software.

According to the DOJ, Amvik was hired to handle billing and claims for Helping Hands Academy, a Bridgeport, Conn. services provider working with children with autism.

The government alleges that when submitting claims for payment to Connecticut Medicaid on behalf of Helping Hands, Amvik falsely identified the incorrect Board Certified Behavior Analyst (“BCBA”) as the rendering provider on the claims.

This caused Connecticut Medicaid to pay claims that it would not have otherwise paid, investigators said. The action took place from Oct. 3, 2019 to Oct. 1, 2020.