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Three Skilled Nursing Facilities to Pay $300K over Unnecessary Rehab Services Claims

Three affiliated skilled nursing facilities in Illinois have agreed to resolve allegations that they violated the False Claims Act by submitting or causing the submission of false claims to the Centers for Medicare and Medicaid Services for medically unnecessary rehabilitation services. Under the agreement, Symphony Jackson Square LLC doing business as Symphony of Chicago West, Symphony Park South LLC doing business as Symphony of Morgan Park, and Symphony Midway LLC will pay the United States a total of $300,000. The United States alleged that, between Jan. 1, 2014, and Sept. 30, 2019, the skilled nursing facilities billed Medicare for physical therapy, occupational therapy, and speech pathology services provided to patients for longer than medically necessary and without regard for patients’ individual medical needs. These actions resulted in the submission of false claims based on inflated RUG levels.