Benchmark Rehabilitation Partners LLC (“Benchmark”) reached a $1.8 million settlement agreement with Tennessee Attorney General Robert Cooper to resolve allegations that it improperly billed the Medicare, TennCare and Medicaid programs.

According to the state and federal government, Benchmark submitted claims to Medicaid for therapeutic exercise services from 2001-2006.  However, records show that patients actually underwent aquatic therapy during this time which is restricted by Medicaid reimbursement rules. 

In submitting claims for physical therapy services that were not considered reimbursable under the Medicaid program regulations, the business allegedly violated the federal False Claims Act and the Tennessee Medicaid False Claims Act.  Benchmark, however, denies any wrongdoing. 

Under terms of the settlement, the state will receive $190,977 and the federal government will receive $1,625,489.

Click here to read the full article, “Feds, Cooper Join Forces for Settlement”