Vanguard Settles With $2 Million In False Claims Act

It was announced last week that the United States and the State of Tennessee will be receiving $2 million in a settlement of False Claims Act allegations from Vanguard and its wholly owned subsidiary, Vanguard Health Care Ancillary.

The settlement resolves claims by the United States and the state of Tennessee that Vanguard wrongly billed Medicare for enteral feeding services and supplies to patients in nursing homes that it also billed to the Tennessee Medicaid program.

The settlement also resolves allegations that Vanguard wrongly billed Medicare for enteral feeding supplies that it received for free and for billing Medicare for patients who were not eligible for the skilled nursing in-patient benefit.

Pursuant to the settlement agreement to pay a total of $2 million, Vanguard agreed to pay $1,880,619.02 to the United States and $119,380.98 to the state of Tennessee. Vanguard will also enter into a comprehensive Corporate Integrity Agreement with the United States Department of Health and Human Services.

“The resolution of these allegations is another example of this office’s commitment to combat health care fraud,” said U.S. Attorney Jerry E. Martin. “When health care providers double bill the Medicare and Medicaid programs we will hold them accountable. Healthcare fraud remains a priority of this office and we will continue to aggressively pursue fraudulent conduct by those in the health care industry and ensure that proper safeguards are in place to prevent fraud.”

Tennessee Attorney General Bob Cooper said, “We are grateful for the cooperation of all the state and federal agencies involved in this effort to stop these examples of double-billing because ultimately all Tennesseans pay the price.”

“Companies that pile up profits by filing false claims, as alleged in this case, can count on being relentlessly pursued,” said Derrick L. Jackson, Special Agent in Charge of the Atlanta Region for the Office of Inspector General of the Department of Health and Human Services. “Along with our law enforcement partners, we are dedicated to protecting taxpayers and vulnerable recipients of government health programs” – Source.

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