BOSTON (Legal Newsline) — Massachusetts Attorney General
Maura Healey recently announced ADH Seller LLC (formerly New England Adult
Day Health, LLC) doing business as New England Community Care LLC (NECC) will pay more
than $200,000 after allegations of inappropriately billing the state’s
Medicaid (MassHealth) for services not provided.
The company purportedly submitted claims to MassHealth that
overstated the amount of time its patients received services. Between August
2012 and September 2014, NECC allegedly billed a daily rate for particular members who
did not receive a full day’s worth of services.
“This company allegedly defrauded the MassHealth program by
intentionally billing for services that were never provided and diverting resources
from those in need,” Healey said.
“Our Medicaid Fraud Division is dedicated to
investigating fraud and abuse and will continue to pursue bad actors to recover
taxpayer dollars that help fund legitimate services and claims submitted to
To settle the claims, NECC – which is no longer in business –
agreed to pay $225,000 to MassHealth. Assistant Attorney General Lee Hettinger
and investigator Lisa Bailey of Healey’s Medicaid Fraud Division handled the