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Baltimore County Firm Pays $160K Medicaid Fraud Restitution

Milford Mill business All About You Health Care Services submitted fraudulent claims to the Medicaid program.

A Milford Mill health care business will pay nearly $160,000 in restitution and penalties to the Maryland Medicaid program after submitting false claims.

The case against All About You Health Care Services was filed in February 2012 by state Attorney General Doug Gansler, according to a news release Monday from Gansler's office. The settlement was reached during mediation ordered by the Circuit Court for Baltimore County.

"The investigation showed that services were done without adequate medical supervision in violation of Maryland Medicaid regulations," the release states.

All About You Health Services, located at 3527 North Rolling Road, Suite 225, provides home health and nursing services to homes, hospitals, assisted living and long-term care facilities.

The business also billed for services that were given outside of Medicaid regulations, the release states.

"Additionally, All About You allowed services to be provided by a home health care aide who resided with a patient in violation of applicable requirements," it states.

Buzz Beeler January 14, 2013 at 08:40 PM
There is so much fraud in this country we could probably balance the budget if we stopped it.
FIFA January 14, 2013 at 08:46 PM
The problem here is more than that Buzz. If you falsify the Medicaid billing, I call that stealing. If you walk into a bank and rob it of $160,000 you will spend some serious time in a cell. Here it is a fine. Someone at this business knew what they were doing and decided to steal. Lock them up and maybe it will stop the other fraudsters.
Bart January 14, 2013 at 10:49 PM
I don't know, guys. If you look at the charges, it talks about some services that were done without adequate Medical Supervision. The medical profession, in general is trying to cut costs down to the bones. This could be just cutting too many corners, thus the fine and restitution, not criminal charges. Not that I'm defending the company, but the services were provided. Much of the "adequate" could be up to interpretation.
FIFA January 14, 2013 at 10:51 PM
I would argue they "stretched" the rules to bill outside of "Maryland regulations". I would suggest this is white collar crime, usually punished with fines only.
Buzz Beeler January 15, 2013 at 01:17 AM
FIFA, I can't agree more. I saw one of the investigative spots and all they did was shut down and reopen up the street under another name. These guys getting away with murder and it's a shame.
Bart January 15, 2013 at 01:28 AM
I just hope the regulators keep an eye on them because the ones who get injured the most are usually the unaware and totally innocent "patients", often the elderly.
LuAnn Meyer January 15, 2013 at 03:33 PM
Very perceptive Buzz and FIFA . The fines vs. profit ratio make this a a winning situation for these people . And, yes they reopen under new name. It's even worse on the Federal level. There aren't enough actual individual "overseeers" to be out their actively patrolling. Just watch a channel geared to the elderly and all of the "care " companies that are selling their wares . It is a HUGE jackpot for SOME of these companies. Not all mind you but there are SOME real abusers of "the system". And I agree. We may actually be able to balance the deficit and straighten out the healthcare system if action could be taken.
Kathleen January 15, 2013 at 05:04 PM
"All About You" cared for me as a provider registered with the LIVING AT HOME MEDICAID WAIVER. I am not surprise by the fraud and, yes, watch for the company to resurface with a new name.
Kathleen January 15, 2013 at 05:32 PM
To all who have commented: I have been a patient of dozens of these small, poorly regulated companies. They are providing "care" to the most vulnerable of the homebound. They may steal money from Medicaid ,but they steal dignity, respect and hours of care from the patient. It isn't just paperwork that is fraudulent; the paperwork says, for example "we were at the patient's home for four hours and completed the following tasks-bathing, dressing..." ,when at times, and with certain companies, this is fiction. I am unsure of what I can legally say in this situation.....I still am a consumer of home care.
Buzz Beeler January 15, 2013 at 10:04 PM
Kathleen I went through the same issue with a company who was double billing us and fired them. When they tried to collect the bills that were based on fraud I told them I was a retired cop and had all the paperwork including the examples of fraud. Never hear from them again. I still should have filled charges. I still have time to do so.
Buzz Beeler January 17, 2013 at 03:40 AM
Janet, fire that coach!

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