Planned Parenthood Gulf Coast has to pay $1.4 million for fraud - KYTX CBS 19 Tyler Longview News Weather Sports

Planned Parenthood Gulf Coast has to pay $1.4 million for fraud

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HOUSTON (KYTX) -The Texas Attorney General's Office concluded today that the States Medicaid fraud investigation into Planned Parenthood Gulf Coast.

According to an agreement made today, Planned Parenthood Gulf Coast must pay $1.4 million for fraudently over billing the taxpayer- funded Medical program.

After a whistleblower lawsuit was filed alleging improper billing practices by Planned Parenthood Gulf Coast, an investigation was opened by the Texas Attorney General's Office and the Texas Health and Human Services Commission's Office of Inspector General.

The State's investigation revealed that Planned Parenthood Gulf Coast improperly billed the Texas Medicaid program for products and services that were never actually rendered, not medically necessary, and were not covered by the Medicaid program –and were therefore not eligible for reimbursement.

For example, state investigators determined that Planned Parenthood Gulf Coast falsified material information in patients' medical records in order to support fraudulent reimbursement claims to the Medicaid program.

Under the agreement announced today, Planned Parenthood Gulf Coast must pay $1.4 million to resolve the Medicaid fraud enforcement action.

Because Medicaid is jointly funded by the State and the federal government, the federal government is entitled to a portion of the Texas recovery.

Under the Texas Medicaid Fraud Prevention Act, the relator-whistleblower that uncovered the defendant’s fraudulent conduct will also receive a share of the State’s recovery.

Nationally recognized for its successful efforts to recover funds wrongfully taken from the Medicaid program, the Texas Attorney General’s Civil Medicaid Fraud Division (CMF) is responsible for pursuing fraud claims through civil enforcement actions.

Since 2002, CMF’s recoveries for the State of Texas have passed the $400 million mark – while total recoveries for the state and federal governments now exceed $1 billion.

 

 

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