Maxim Health Care agreed to pay $150 million to resolve criminal charges and civil False Claims Act suits that began when a patient noticed that he had been over-billed for more than 700 hours of services which were never provided.  After the patient brought a qui tam case against Maxim, the New Jersey Attorney General, U.S. Attorney’s Office, DOJ, FBI, Department of Veteran’s Affairs, and Health and Human Services further investigated Maxim’s conduct.  Their investigations uncovered a scheme across multiple states whereby Maxim had submitted false and undocumented claims for over a decade.

Maxim entered into a deferred prosecution agreement under which it agreed to accept and acknowledge responsibility for their actions and stipulate to a Statement of Facts which mirrors the criminal complaint.  According to the complaint, between 2003 and 2009, Maxim employees falsified time sheets to bill for services not provided, submitted bills through licensed centers in order to bill for unlicensed centers, and falsified documents reflecting that employees had received required training and that caregivers had proper qualifications.

Maxim also agreed to submit to and pay for a federally-appointed independent monitor for two years as part of the deferred prosecution agreement.  Nine Maxim employees have also pleaded guilty as a result of the charged conduct.

Read the DOJ Press Release, “Maxim Healthcare Services Charged With Fraud, Agrees To Pay Approximately $150 Million, Enact Reforms After False Billings Revealed As Common Practice”
Read the entire article, “Maxim Healthcare Pays $150 Million in Fraud Case”