The Ensign Group, a renowned provider of healthcare services, recently entered into a Corporate Integrity Agreement (CIA) with the Department of Health and Human Services (HHS) to resolve allegations of fraudulent billing practices.
According to the CIA, Ensign Group had overbilled Medicare for unnecessary rehabilitation therapy services provided to patients in skilled nursing facilities. The company was accused of submitting false claims in violation of the False Claims Act, which prohibits anyone from knowingly causing the submission of false or fraudulent claims to the government.
To settle these allegations, Ensign Group agreed to pay $48 million to the government and entered into a five-year CIA. The agreement requires the company to implement a comprehensive compliance program designed to prevent and detect future instances of healthcare fraud and abuse.
The compliance program includes regular training and education for employees, enhanced internal controls and monitoring, and the appointment of an independent review organization to assess and report on Ensign Group`s compliance with the CIA`s requirements.
Ensign Group`s commitment to corporate integrity aligns with the company`s core values of quality care, respect, and integrity. The company has been recognized for its commitment to ethical practices, earning the Great Place to Work® certification for two consecutive years.
As a provider of healthcare services, Ensign Group understands the importance of maintaining the highest levels of corporate integrity. By entering into the CIA and implementing a comprehensive compliance program, Ensign Group has taken a proactive step to ensure that its operations are conducted in an ethical and lawful manner.
In conclusion, the Ensign Group`s Corporate Integrity Agreement is a testament to the company`s commitment to ethical practices and compliance with federal healthcare regulations. The agreement serves as a reminder to all healthcare providers to prioritize corporate integrity in their operations and to always comply with the law.