Settlement Bans Health Care Provider's Participation In Federally Funded Plans.Health Care Providers Be Aware On June 10, 2008, several Pennsylvania health care facilities, their management company and the individual owner, Rosalind Lavin, agreed to never again participate in federally-funded health care programs. The settlement resulted from a U.S. Attorney's Office for the Eastern District of Pennsylvania investigation of claims of substandard living conditions living conditions npl → condiciones fpl de vida living conditions npl → conditions fpl de vie living conditions living provided to adult residents of the Pennsylvania health care facilities. The health care facilities served physically and/or mentally disabled mentally disabled See Cognitively impaired. adult residents who required assistance and supervision in day-to-day activities. Following an investigation, the U.S. Attorney's office alleged that the health care facilities' management company did not fulfill the quality of care requirements set forth by the Social Security Act and implementing guidelines. Further, the U.S. Attorney's office alleged that these funds were being directed toward the personal use of Rosalind Lavin. The entities and owners agreed to pay $700,000 to the United States United States, officially United States of America, republic (2005 est. pop. 295,734,000), 3,539,227 sq mi (9,166,598 sq km), North America. The United States is the world's third largest country in population and the fourth largest country in area. . The entities and owners agreed to cease operating Ivy Ridge facility as a personal care home and to assist in the relocation of its residents. Finally, they agreed to never again act as the representative payee The person who is to receive the stated amount of money on a check, bill, or note. payee n. the one named on a check or promissory note to receive payment. PAYEE. The person in whose favor a bill of exchange is made payable. for collecting government benefits, or to participate, either directly or indirectly, in the ownership, operation, consultation for, or management of a health care facility, either government-funded or private pay. Rosalind Lavin agreed to be permanently disqualified dis·qual·i·fy tr.v. dis·qual·i·fied, dis·qual·i·fy·ing, dis·qual·i·fies 1. a. To render unqualified or unfit. b. To declare unqualified or ineligible. 2. from Medicare, Medicaid and all federal health care programs. While the parties did not admit any liability or wrongdoing wrong·do·er n. One who does wrong, especially morally or ethically. wrong  do , the entities and owners have agreed to fulfill these
provisions.
This unprecedented settlement indicates a shift toward significantly increased penalties against health care facility operators who fail to comply with federal law. For more information about this Alert, please contact Frederick R. Ball, any of the other members of the White-Collar Criminal Defense Group or the attorney in the firm with whom you are regularly in contact. This article is for general information and does not include full legal analysis of the matters presented. It should not be construed or relied upon as legal advice or legal opinion on any specific facts or circumstances. The description of the results of any specific case or transaction contained herein does not mean or suggest that similar results can or could be obtained in any other matter. Each legal matter should be considered to be unique and subject to varying results. The invitation to contact the authors or attorneys in our firm is not a solicitation to provide professional services (job) professional services - A department of a supplier providing consultancy and programming manpower for the supplier's products. and should not be construed as a statement as to any availability to perform legal services legal services n. the work performed by a lawyer for a client. in any jurisdiction in which such attorney is not permitted to practice. Duane Morris LLP LLP - Lower Layer Protocol , a full-service law firm of more than 650 attorneys, offers innovative solutions across diverse industries in the United States and internationally to address the legal and business challenges of today's evolving global markets. Mr Frederick Ball Duane Morris LLP 30 South 17th Street Philadelphia 19103-4196 UNITED STATES Tel: 2159791000 Fax: 2159791020 E-mail: solutions@duanemorris.com URL URL in full Uniform Resource Locator Address of a resource on the Internet. The resource can be any type of file stored on a server, such as a Web page, a text file, a graphics file, or an application program. : www.duanemorris.com Click Here for related articles (c) Mondaq Ltd, 2008 - Tel. +44 (0)20 8544 8300 - http://www.mondaq.com |
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