NECC owes $225,000 after allegedly overbilling MassHealth, state Medicaid system

By Mark Iandolo | Oct 28, 2016

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 MassHealth.”


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 case.

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