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February 2, 2022

Posted  February 2, 2022

New York healthcare provider The Door – A Center for Alternatives has agreed to pay $12.9 million to resolve claims that it submitted false claims for reimbursement to New York’s Indigent Care Pool, which is funded by Medicaid.  The Door was required to submit annual cost reports to New York reporting figures including the number of “threshold visits” to its ambulatory diagnostic and treatment center.  A qui tam case initiated by two whistleblowers alleged that defendant knowingly inflated the number of threshold visits to increase payments.   SDNY

Tagged in: FCA Federal, Healthcare Fraud, Medicaid, Other Government Health Programs, Provider Fraud, Whistleblower Case,