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Ventilator Company Pays Over $40 Million to Settle Fraudulent Billing Allegations

  • A group of state AGs, through their respective Medicaid Fraud Control Units, and the U.S. Department of Justice (“DOJ”) reached a settlement with non-invasive ventilator (“NIV”) providers Apria Healthcare Group Inc. and Apria Healthcare LLC (collectively “Apria”) to resolve allegations that Apria submitted false claims for the rental of NIVs to government health care programs, including Medicaid, Medicare, and TRICARE, in violation of the federal and state false claims acts, and the federal Anti-Kickback Statute.
  • The DOJ complaint, stemming from a case initiated by three whistleblowers, alleged that Apria submitted thousands of false claims and fraudulently received millions of dollars in reimbursements, including by not properly monitoring patients’ utilization of their NIVs and not stopping billing Medicaid programs when NIVs were no longer being used.
  • Under the terms of the settlements with the states and the DOJ, Apria will pay approximately $37.6 million to the United States and $2.4 million to the participating states.