Fraud payback: In-home health care giant overbilled U.S. $61 million 

Maxim Healthcare Services will dole out a lot of money to settle probes of overbilling. (maximhealthcare.com)
  • Maxim Healthcare Services will dole out a lot of money to settle probes of overbilling. (maximhealthcare.com)

WHAT: Maxim Healthcare Services, a 300-office home health care provider, will pay $150 million in reimbursements and penalties to settle criminal and civil probes of fraudulently overbilling federal and state governments at least $61 million.

WHO STOPPED IT: A wheelchair-bound Vietnam veteran on a ventilator investigated the scam for seven years after finding his Medicaid benefits were wrongly maxed out. His efforts produced the largest financial settlement in home health care fraud history.

WHAT HAPPENED NEXT: Whistleblower Richard West, 63, of New Jersey received $15 million as his share of the recovered cash. Meanwhile, nine persons — mostly Maxim executives — pleaded guilty in the case. Maxim will now be overseen by a corporate monitor.

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