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Asheville --June 3, 2022: Healthkeeperz, Inc. (Healthkeeperz), a behavioral healthcare provider based in Pembroke,
North Carolina, has agreed to settle allegations that it violated the
False Claims Act by billing Medicaid programs for services that were not reimbursable under the applicable North Carolina Medical Clinical Coverage Policy. To settle the claims, Healthkeeperz has agreed to pay $2.1 million.
Under the North Carolina Medicaid Community Alternatives Program for Disabled Adults (CAP/DA), Healthkeeperz provides case management services to Medicaid enrollees. The settlement resolves accusations that Healthkeeperz filed reimbursement claims to North Carolina Medicaid and received payment based on those claims for services that were not covered by Medicaid from January 1, 2016 to October 31, 2019.
The claims stem from a case brought by a whistleblower under the federal False Claims Act and the North Carolina False Claims Act's qui tam provisions. Private persons can sue on behalf of the government for false claims and share in any recovery under the False Claims Acts. The act also gives the government the power to intervene and take control of the situation. The government conducted the inquiry and interfered to bring the case to a conclusion.
The settlement is the result of a collaborative effort between the Office of Inspector General at the Department of Health and Human Services, the Medicaid Investigations Division of the North Carolina Attorney General, and the United States Attorney's Office for the Western District of North Carolina.
United States and the State of North Carolina ex rel. Ginger L. Hill v. Healthkeeperz, Inc. is the case that this settlement resolves (1:20CV32). The claims resolved by this settlement are simply assertions; no culpability has been established.
The claims stem from a case brought by a whistleblower under the federal False Claims Act and the North Carolina False Claims Act's qui tam provisions. Private persons can sue on behalf of the government for false claims and share in any recovery under the False Claims Acts. The act also gives the government the power to intervene and take control of the situation. The government conducted the inquiry and interfered to bring the case to a conclusion.
The settlement is the result of a collaborative effort between the Office of Inspector General at the Department of Health and Human Services, the Medicaid Investigations Division of the North Carolina Attorney General, and the United States Attorney's Office for the Western District of North Carolina.
United States and the State of North Carolina ex rel. Ginger L. Hill v. Healthkeeperz, Inc. is the case that this settlement resolves (1:20CV32). The claims resolved by this settlement are simply assertions; no culpability has been established.
Wnctimes by Marjorie Farrington
