Medicare Fraud Settlement

“Focusing on profits over the needs of individual patients violates the public trust and creates a potential for harm of some of the most vulnerable among us.”

–U.S. Attorney Jacqueline C. Romero said.

The Philadelphia Inquirer reported the Medicare fraud case settled in Pennsylvania. Saunders House nursing home agreed to pay $819,000 to settle allegations that it overbilled Medicare for physical therapy. The lawsuit filed by physical therapist assistant Gerard Carson also named his employer, an outside contractor to nursing homes, and four other Philadelphia-area nursing homes.

The False Claims Act filed by Carson alleged that Saunders House billed for “medically unnecessary rehabilitation therapy to residents to maximize revenue and without prioritizing clinical needs.”