American Senior Communities, L.L.C., Medicare Fraud, Indiana 2022

Indiana Manages to Snag $12 Million in Medicare Fraud Case

In a shocking turn of events, Zachary A. Myers, U.S. Attorney for the Southern District of Indiana, announced today that the U.S. Attorney’s Office for the Southern District of Indiana collected $12,233,320 in criminal and civil actions in Fiscal Year 2022. Of this amount, $3,519,196 was collected in criminal actions and $8,714,124 was collected in civil actions.

The Southern District of Indiana worked with other U.S. Attorney’s Offices and components of the Department of Justice to collect an additional $216,807 in cases pursued jointly by these offices. Of this amount, $60,816 was collected in criminal actions and $155,991 was collected in civil actions.

The efforts and leadership of our Civil Division and Asset Recovery Unit have resulted in the recovery of millions of dollars that will assist victims of fraud and other crimes,” said U.S. Attorney Myers. “We are proud to have coordinated with so many local, state, and federal law enforcement partners to protect victims and hold criminals accountable.

U.S. Attorney Myers thanked Civil Division Chief Shelese Woods and Asset Recovery Unit Chief Kelly Rota, as well as the Office’s outstanding support professionals for their diligent efforts.

American Senior Communities, L.L.C. engaged in conduct to defraud the Medicare program by charging Medicare directly for various therapy services, which were being provided to beneficiaries who had been placed on hospice, when those services should have been covered by the beneficiaries’ Medicare hospice coverage. Based on the investigation, the estimated loss to the Medicare program was $2,795,522.33 and ASC agreed to pay $5,591,044.66 to the United States. Assistant U.S. Attorneys Shelese Woods and Justin Olson handled the case for the United States.

In August, the Southern District of Indiana recovered $5,591,044 as part of the government’s settlement with American Senior Communities, L.L.C. Forfeited assets deposited into the Assets Forfeiture Fund are used to restore funds to crime victims and for a variety of law enforcement purposes.

The U.S. Attorneys’ Offices, along with the Department’s litigating divisions, are responsible for enforcing and collecting civil and criminal debts owed to the United States and criminal debts owed to federal crime victims. The law requires defendants to pay restitution to victims of certain federal crimes who have suffered a physical injury or financial loss. While restitution is paid to the victim, criminal fines and felony assessments are paid to the Crime Victims Fund, which distributes the funds collected to federal and state victim compensation and victim assistance programs.

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