Capital Caring Pays $3.1 Million to Resolve Medicare Billing Claims
ALEXANDRIA, Va. – Capital Caring, located in Falls Church, has agreed to pay $3.1 million to settle allegations that it caused the government to overpay the organization as a result of billings it submitted to the Medicare Program for hospice services.
Capital Caring provides hospice and palliative care services for patients in the Washington, D.C. metropolitan area. The overpayments were the result of claims Capital Caring submitted to Medicare for hospice services for patients who the government alleged either did not meet the hospice eligibility guidelines for the Medicare Program, Title XVIII of the Social Security Act, or for whom the hospice clinical record information maintained by Capital Caring was insufficient to support Medicare hospice coverage.
The resolutions obtained in this matter were the result of a coordinated effort between the U.S. Attorney's Office for the Eastern District of Virginia, the FBI, and the Department of Health and Human Services Office of Inspector General.
The matter was investigated by Assistant U.S. Attorneys Monika Moore and Ilene Albala. The civil claims settled are allegations only; there has been no determination of civil liability.
Read more: https://www.justice.gov/usao-edva/pr/capital-caring-pays-31-million-resolve-medicare-billing-claims