December 17, 2009 — Nursing Personal Home Care
Three New York City Home Health Agencies, Nursing Personal Home Care, Extended Home Care and Excellent Home Care, have agreed to pay $9.7 Million to settle qui tam claims filed by two private relators.
The companies had been billing New York Medicaid and Medicare programs for providing the services of home health aides to beneficiaries of the Medicaid and Medicare programs.
The New York Medicare program provides coverage for home health aides only if those aides have valid certificates showing that they received proper training.
The allegations of the qui tam case were that Nursing Personal Home Care knowingly supplied aids with phony training certificates to Extended Home Care and Excellent Home Care, which then billed New York Medicaid for the aides services; that Extended Home Care and Excellent Home Care knowingly billed for aides with phony certificates who were untrained; and that Extended Home Care and Excellent Home Care billed the Medicare program for home health care service which were not actually provided.
As a reward for having filed their qui tam claim, the private relators will receive over $1.9 Million from the settlement.
See U.S. Dept of Justice Press Release 12/17/09