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Thursday, November 7, 2024

Indiana home health provider settles fraud case for $217K

State AG
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Indiana Attorney General Todd Rokita | Ballotpedia

A home health care provider in Highland, Indiana, has reached a $217,000 settlement and faced a criminal conviction after an investigation led by Attorney General Todd Rokita's Medicaid Fraud Control Unit (MFCU). The probe revealed that Allpoints Home Health Care Inc. had billed Medicaid for thousands of hours not worked, submitting 1,055 false claims.

Attorney General Rokita praised the efforts of the MFCU, stating: “Week after week, our nationally renowned Medicaid Fraud Control Unit does outstanding and incredibly thorough work on behalf of Hoosiers.” He emphasized the gravity of the fraud: “And of all the types of fraud committed, what is more sinister than stealing money which was intended to help low-income sick people pay their health care bills?”

The investigation found blatant falsifications in records, such as billing for services during times when patients were hospitalized. MFCU staff analyzed claims submitted to Medicaid, interviewed employees at Allpoints, reviewed medical records, and examined Electronic Visit Verification sheets.

Evidence gathered was sufficient for a settlement and to collaborate with the Lake County Prosecutor’s Office on securing a criminal conviction. Mohammad Adnan Satti, who prepared most false claims, was convicted of felony theft and received an 18-month suspended jail sentence under a plea agreement.

Allpoints agreed to pay $217,019.61 to Indiana to avoid civil liability under the Indiana Medicaid False Claims and Whistleblower Protection Act. This amount is three times the identified overpayments.

Attorney General Rokita acknowledged MFCU Director Matt Whitmire and Deputy Attorneys General Jeremy Johnson and Jordan Stover for their contributions to this case.

The Indiana Medicaid Fraud Control Unit's funding comes 75 percent from a federal grant by the U.S. Department of Health and Human Services, with the remaining 25 percent funded by the State of Indiana.

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