FOR IMMEDIATE RELEASE CIV FRIDAY, AUGUST 1, 1997 (202) 616-2765 TDD (202) 514-1888 VENDELL HEALTHCARE, INC. TO SETTLE WITH U.S. AND NEBRASKA FOR $1.3 MILLION FOR OVERBILLING MEDICAID The Largest Healthcare Fraud Settlement in Nebraska History WASHINGTON, D.C., Under an agreement reached with the Justice Department and the State of Nebraska, Nashville-based Vendell Healthcare, Inc, has agreed to a $1.3 million settlement to resolve claims it fraudulently overcharged Medicaid. Assistant Attorney General for the Civil Division Frank Hunger and U.S. Attorney Tom Monaghan of Nebraska, said that Vendell filed fraudulent Medicaid billings on behalf of Rivendell of Nebraska, a psychiatric hospital for children and adolescents, that was owned by Vendell in Seward, Nebraska. The settlement, which was approved by the Bankruptcy Court in Nashville, requires Vendell to pay more than $654,000 and drop approximately $680,000 in bills which were pending against the State of Nebraska at the time the facility closed. This healthcare fraud settlement is the largest in Nebraska history. "This case is an excellent example of teamwork between federal and state investigators and auditors who worked together on this lengthy Medicaid fraud investigation," said Hunger. The case against Vendell arose after audits of Rivendell's Medicaid billings from 1987 until June 30, 1995, uncovered $4,060,394 in overpayments. Nebraska Medicaid paid Rivendell on a daily rate based upon the costs Rivendell claimed it incurred to run the Seward hospital. The case was settled for $1.3 million because of Vendell's March 1997 bankruptcy. "It is critical that the United States and the State of Nebraska enforce the integrity of the Medicaid program to protect the interests of our taxpayers," said Monaghan. "We intend to continue our efforts at every appropriate opportunity." Vendell allegedly sought reimbursement on a number of fraudulent claims, including: * advertising costs that were incurred to increase patient admissions rather than educate the public about medical matters; * building depreciation and interest costs while simultaneously claiming for rent paid to a related corporation; and, * legal fees it incurred while entering into a previous settlement agreement with the United States and the State of Nebraska. In December 1995, Vendell closed the Seward hospital, two months after the State of Nebraska removed all Medicaid patients from the facility. The hospital property was sold in June, 1997 to the Catholic Bishop of Lincoln after the bankruptcy. The case was handled jointly by the Justice Department's Civil Division, the U.S. Attorney's Office, the FBI, the Department of Health and Human Services Office of Inspector General and the Nebraska Department of Health and Human Services Finance and Support, formerly the Nebraska Department of Social Services. 97-319 ###