Americle Healthcare, Inc. has agreed to a $1 million settlement with the state of Maryland after it allegedly billed Medicaid for services it didn't provide, Attorney General Douglas Ganser announced on Dec. 11.
Based in Anne Arundel County, the health care company provides incontinence supplies, adult diapers and other durable medical equipment to Medicaid recipients in Maryland.
From 2005 to 2009, the company allegedly sent bills to Maryland Medicaid for services or products that weren’t shipped. Americle also allegedly failed to get medical necessity certificates from doctors that verified patients needed the products and indicated the quantity of products needed each month. The state also alleged that the company didn't get state-required delivery confirmation certificates for items that it shipped to Medicaid recipients.
"This company's actions fly in the face of state regulations that are in place to ensure that providers do not exploit taxpayers by billing for products that are not medically necessary or for products that are not delivered," Gansler said. "Companies that do so compromise the integrity of Maryland's public healthcare system, ultimately making health care more expensive for everyone."