MM Curator summary
[ MM Curator Summary]: Academy Health must pay back hundreds of thousands of dollars AND stop operations.
The article below has been highlighted and summarized by our research team. It is provided here for member convenience as part of our Curator service.
OHIO — The U.S. Department of Justice announced it has reached a settlement with Ohio-based Academy Health Care Services after the organization agreed to close and pay $500,000.
What You Need To Know
- The U.S. Department of Justice reached a settlement with Dayton-based Academy Health Care Service under the False Claims Act
- Half of the $500,000 will be paid toward restitution
- The settlement stipulated that Academy must cease operations by June 30
- The DOJ said that Academy’s billing practices routinely caused Ohio Medicaid to pay at a higher level of reimbursement than warranted
The Department of Justice said that Academy Health Care Service settled under the False Claims Act. The company agreed to cease operations no later than June 30.
The DOJ said that Academy Health Care Service “billing practices routinely caused Ohio Medicaid to pay at a higher level of reimbursement than warranted by the services provided as well as the setting in which the services were provided.”
The DOJ added that “Academy billed for individual healthcare services when any services it actually provided were in group settings. Further, Academy nurses did not spend the time required with patients to receive reimbursement for individual services.”
The company’s website was no longer functional, as of Tuesday. In an archived version of the website, the company claimed it specializes in home health care and that ensured that patients receive prescribed medications on time, proper nutrition and help with grooming.
The DOJ said that Academy was based in Dayton and serviced patients in Ohio.
Half of the $500,000 settlement will be used toward restitution.
Clipped from: https://spectrumnews1.com/oh/columbus/news/2022/01/04/company-accused-of-overbilling-ohio-medicaid-reaches-doj-settlement