by Andrew Murray | September 25th, 2019
On August 15, 2019, the Massachusetts Attorney General announced the settlement. The Press Release states:
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A Boston-based home health care company will pay $1.95 million to resolve allegations that it filed claims for payment with the state’s Medicaid program (MassHealth) for services that were not certified as medically necessary, Attorney General Maura Healey announced today.
Guardian Healthcare, LLC will pay $1.95 million to resolve allegations it submitted claims to MassHealth for home health services that had not been appropriately authorized by a physician.
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In addition to the financial settlement, Guardian has also agreed to implement a multi-year, independent compliance program which will involve updating its policies and procedures, training its staff, and conducting annual audits to ensure compliance with federal and state regulations.
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