Innovative Resources Group, doing business as APS Healthcare Midwest of White Plains, N.Y., will pay $13 million to the federal government and the state of Georgia to settle allegations that it submitted false claims to Medicaid for specialty services not provided, according to a news release from the Federal Bureau of Investigations.
The government alleges that APS submitted false claims to Medicaid through the Georgia Department of Community Health because it did not provide specialty services related to disease management and case management to members of the Georgia Medicaid Management Program from Sept. 2007 through Feb. 2010.
APS has executed a Corporate Integrity Agreement with the Department of Health and Human Services, Office of Inspector General, which will require an aggressive compliance program.
The United States' share of the settlement is $5.2 million.
Read the FBI release on APS Healthcare.
Read more about Medicaid and Medicare fraud:
-Maryland Internist Allegedly Bilked More Than $800K From Medicare, Medicaid
-Feds Charge 111 in Largest Healthcare Fraud Takedown To Date
-20 People Indicted for $200M in Medicare Fraud, Kickbacks at Miami Mental Health Center
The government alleges that APS submitted false claims to Medicaid through the Georgia Department of Community Health because it did not provide specialty services related to disease management and case management to members of the Georgia Medicaid Management Program from Sept. 2007 through Feb. 2010.
APS has executed a Corporate Integrity Agreement with the Department of Health and Human Services, Office of Inspector General, which will require an aggressive compliance program.
The United States' share of the settlement is $5.2 million.
Read the FBI release on APS Healthcare.
Read more about Medicaid and Medicare fraud:
-Maryland Internist Allegedly Bilked More Than $800K From Medicare, Medicaid
-Feds Charge 111 in Largest Healthcare Fraud Takedown To Date
-20 People Indicted for $200M in Medicare Fraud, Kickbacks at Miami Mental Health Center