BROCKWAY, Pa. (AP) — A Pennsylvania-based nursing home company has agreed to pay more than $15.4 million to resolve allegations of overbilling for medically unnecessary rehabilitation therapy services, federal authorities said Wednesday.

The Department of Justice said the False Claims Act allegations involved overbilling Medicare and the Federal Employees Health Benefits Program from 2011 through 2017.

The company was accused of having had facilities in Pennsylvania, West Virginia, and Ohio bill for patients at the highest level of Medicare reimbursement “when services at that level were not medically necessary and were influenced by financial considerations rather than resident needs,” federal authorities said.

Two former Guardian employees who brought the allegations are to receive approximately $2.8 million, the department said.

Brockway, Pa.-based Guardian, which operates more than 50 nursing facilities in Ohio, West Virginia and Pennsylvania (including Titusville Healthcare & Rehabilitation Center), said resident care “remains our first priority and we are committed to meeting our obligations under this agreement.

“We are confident that Guardian’s corporate compliance program advocates for our patients, their families and caregivers,” Patricia McGillan, the company’s chief compliance officer, said in a statement.

Recommended for you

(0) comments

Welcome to the discussion.

Keep it Clean. Please avoid obscene, vulgar, lewd, racist or sexually-oriented language.
Don't Threaten. Threats of harming another person will not be tolerated.
Be Truthful. Don't knowingly lie about anyone or anything.
Be Nice. No racism, sexism or any sort of -ism that is degrading to another person.
Be Proactive. Use the 'Report' link on each comment to let us know of abusive posts.
Share with Us. We'd love to hear eyewitness accounts, the history behind an article.