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Acadia Healthcare Company Inc. to Pay $19.85M to Settle Allegations of Medically Unnecessary Inpatient Behavioral Health Services
A Tampa-based healthcare company has agreed to pay $19.85 million to settle allegations of billing for medically unnecessary inpatient behavioral health services, the United States Attorney’s Office announced today in a press release.
Acadia Healthcare Company Inc., a Delaware corporation with its principal place of business in Franklin, Tennessee, has agreed to resolve allegations that it violated the False Claims Act and related state statutes by knowingly billing for medically unnecessary inpatient behavioral health services or for services that did not meet federal and state regulations.
The United States contended that, between 2014 and 2017, Acadia knowingly submitted false claims for payment to Medicare, Medicaid and TRICARE for inpatient behavioral health services that were not reasonable or medically necessary. In particular, the United States contended that Acadia admitted beneficiaries who were not eligible for inpatient treatment and failed to properly discharge beneficiaries when they no longer needed inpatient treatment and had improper and excessive lengths of stay.
Under the settlement agreement, Acadia will pay $16,663,918 to the United States to resolve its liability under the False Claims Act for its allegedly false Medicare, Medicaid and TRICARE billings. The Medicaid program is jointly funded by the states and the federal government, and pursuant to separate settlement agreements, Acadia will pay an additional $3,186,082 to Florida, Georgia, Michigan and Nevada to resolve their state law claims against Acadia.
“This settlement demonstrates the Justice Department’s commitment to ensuring that federal healthcare programs pay only for services that are needed and properly provided,” said Principal Deputy Assistant Attorney General Brian M. Boynton, head of the Justice Department’s Civil Division. “It is particularly important that health care providers satisfy these requirements when providing services to a vulnerable patient population, such as residents of an inpatient behavioral health facility.”
Acadia Healthcare Company Inc. is based in Franklin, Tennessee and operates inpatient behavioral health facilities throughout the United States, including Park Royal Hospital in Ft. Myers, Florida, Lakeview Behavioral Health in Norcross, Georgia, and Seven Hills Hospital in Henderson, Nevada. The company will pay a total of $19.85 million to settle allegations of medically unnecessary inpatient behavioral health services.
Defendant: Acadia Healthcare Company Inc.
Criminal Charges: Violated the False Claims Act and related state statutes
City and State: Tampa, Florida
Exact Date: N/A
Sentence or Outcome: Paid $19.85 million to settle allegations
Dollar Amounts: $19.85 million, $16,663,918, $3,186,082
Key Facts
- State: Florida
- Category: White Collar Crime|Fraud & Financial Crimes
- Source: DOJ Press Release â†â€â€
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