Skilled Nursing Facility Management Company Agrees to Settle False Claims Act Allegations

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https://www.justice.gov/usao-mdtn/pr/skilled-nursing-facility-management-company-agrees-settle-false-claims-act-allegations

Department of Justice
U.S. Attorney’s Office
Middle District of Tennessee

FOR IMMEDIATE RELEASE
Tuesday, February 5, 2019

Skilled Nursing Facility Management Company Agrees to Settle False Claims Act Allegations

NASHVILLE, Tenn. – February 5, 2019 - Tennessee Health Management, Inc. (“THM”) has agreed to pay $9,764,107.98 to settle allegations that it violated the False Claims Act, announced U.S. Attorney Don Cochran for the Middle District of Tennessee. The alleged conduct involved the submission of false claims for payment to TennCare, Tennessee’s Medicaid Program, related to nursing facility services to TennCare beneficiaries.
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TennCare requires that a placement evaluation be conducted and certified by a physician for each patient entering a nursing home. This settlement resolves allegations by the United States and the State of Tennessee that during the period of January 1, 2010 through December 31, 2017, THM submitted pre-admission evaluations with photocopied or pre-signed physician signatures on the required certifications for claims rendered to TennCare beneficiaries at its associated Tennessee skilled nursing and rehabilitation facilities. THM operates 27 skilled nursing facilities in the State of Tennessee.
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