Three Affiliated Skilled Nursing Facilities to Pay $300,000 to Resolve False Claims Act Allegations Related to Medically Unnecessary Rehabilitation Services
Excerpt
Three affiliated skilled nursing facilities in Illinois have agreed to resolve allegations that they violated the False Claims Act by submitting or causing the submission of false claims to the Centers for Medicare and Medicaid Services for medically unnecessary rehabilitation services. Under the agreement, Symphony Jackson Square LLC doing business as Symphony of Chicago West, Symphony Park South LLC doing business as Symphony of Morgan Park, and Symphony Midway LLC will pay the United States a total of $300,000. The settlement is based on their ability to pay. Prior to October 2019, Medicare reimbursed skilled nursing facilities for therapy services to patients based on a patient’s resource utilization group (RUG). The RUG was to be determined by the amount of therapy and other services