Kindred Healthcare and its related entities have agreed to pay $19.428 million to settle allegations of violating the False Claims Act by submitting ineligible claims for hospice patients. This settlement, announced by the Department of Justice on July 18, 2024, highlights the ongoing efforts to combat healthcare fraud and protect taxpayer dollars.
Key Details of the Settlement
- Kindred and its affiliates, now owned by Gentiva Health Services, will pay $19.428 million to resolve allegations of False Claims Act violations.
- The claims were related to hospice services provided to patients who were allegedly ineligible for the Medicare hospice benefit.
- The settlement resolves allegations brought forth in two separate lawsuits filed by whistleblowers under the qui tam provisions of the False Claims Act
Implications for Healthcare Providers
This settlement serves as a stark reminder to healthcare providers, particularly those in the hospice industry, about the importance of compliance with Medicare regulations. The case underscores the government's continued focus on combating fraud in the healthcare sector, especially concerning hospice services.
- Healthcare organizations should:
- Implement robust compliance programs
- Regularly audit billing practices
- Ensure proper documentation of patient eligibility for services
- Train staff on Medicare regulations and the False Claims Act
The Role of Whistleblowers In Hospice Fraud Cases
The Kindred Healthcare case exemplifies the critical role whistleblowers play in uncovering fraud against government programs. The qui tam provisions of the False Claims Act empower individuals with knowledge of fraud to come forward and report misconduct. In this case, the whistleblowers will receive a share of the recovery, although the exact amount has not been disclosed.
Trends in False Claims Act Enforcement
This settlement is part of a broader trend in False Claims Act enforcement. In fiscal year 2023, the Department of Justice recovered over $2.68 billion in False Claims Act settlements and judgments. The healthcare industry continues to be a primary focus, with a significant portion of recoveries coming from healthcare-related cases.
The Kindred Healthcare settlement demonstrates the government's ongoing commitment to combating healthcare fraud and protecting taxpayer dollars. It also highlights the power of the False Claims Act and the important role of whistleblowers in exposing fraudulent practices.
At The Whistleblower Advocates, we are dedicated to supporting individuals who courageously step forward to report fraud against government programs. If you have knowledge of potential False Claims Act violations, our experienced whistleblower attorneys can guide you through the process of reporting misconduct and protecting your rights as a whistleblower.
Remember, whistleblowers are essential in the fight against fraud and play a crucial role in safeguarding the integrity of government programs. If you believe you have information about potential False Claims Act violations, don't hesitate to seek legal counsel to understand your rights and options.
