DOJ Reaches Settlement With Provider Based on Chronic Care Management Coding

Recently, DOJ, the State of Florida, and the State of Minnesota reached a nearly $15 million FCA settlement to resolve allegations that a provider knowingly submitted claims for services related to the management of patients in assisted living facilities (”ALFs”), group homes, and memory care units that did not comply with applicable federal healthcare program (”FHCP”) requirements. Sidley’s Jaime L.M. Jones, Brenna E. Jenny, and Francesca R. Ozinal’s provide their analysis.