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National respiratory and home medical equipment provider Apria Healthcare recently agreed to a $40.5 million settlement. A whistleblower alerted authorities to fraudulent billing practices. The U.S. Attorney’s Office, Southern District of New York , made the announcement.
The lawsuit claimed that Apria submitted claims to federal health programs, like Medicare and Medicaid. The claims sought reimbursement of the rental of non-invasive ventilators (NIVs). The lawsuit stated that the company did not know if the beneficiaries were continuing to use them or if the NIVs were medically necessary.
A non-invasive ventilators is a kind of complex respiratory equipment that can dynamically modify the pressure level of air delivery. Whistleblower Settlement Terms The settlement stems from a whistleblower case filed by three former Apria employees.
The filed under the qui tam provisions of the False Claims Act. This law permits private persons – known as “relators” – to file civil cases on behalf of the United States and share in the recovery. U.S. District Judge Edgardo Ramos approved the settlement on December 18th.
It provides that Apria will pay $37.6 million of the total $40.5 to the United States. Apria will pay the remaining money to various states. In addition, the […]