July 06, 2005
Americhoice of Pennsylvania, a managed care company, has agreed to pay $1.6 million to resolve charges that it violated the False Claims Act by failing to process or pay providers’ health claims in a timely fashion or at all and inaccurately reporting claims processing data to Pennsylvania regulators. The government also alleged False Claims Act violations in connection with AmeriChoice’s coverage, and failure to cover home health services to qualified beneficiaries.
The company has also entered into a Corporate Integrity Agreement to ensure prompt payment for appropriate claims submissions.
The Philadelphia Office of the U.S. Attorney issued a press release on June 30, 2005.