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ARTICLE · 09 NOVEMBER 2016

DOJ Secures Its Largest False Claims Act Settlement Involving A Nursing Home Company

The Department of Justice announced the resolution of claims that Tennessee-based nursing home company Life Care Centers of America, Inc. violated the False Claims Act...

United StatesLitigation, Mediation & Arbitration

On October 24, 2016, the Department of Justice announced the resolution of claims that Tennessee-based nursing home company Life Care Centers of America, Inc. ("Life Care") violated the False Claims Act ("FCA") by knowingly causing its 200-plus skilled nursing facilities to seek reimbursement for excessive and unreasonable rehabilitation therapy services. Life Care and its owner Forrest L. Preston agreed to pay $145 million to resolve the claims against them, including the allegation that Life Care's fraudulent billing scheme unjustly enriched Preston. The settlement is DOJ's largest with a skilled nursing chain.

According to the allegations, under the seven-year scheme that began in 2006, Life Care engaged in a systematic effort to increase its Medicare and TRICARE billings by instituting company-wide policies designed to secure the highest level of reimbursement for rehabilitation therapy services and place as many beneficiaries in the highest reimbursement

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