59, hereinafter cited as "CC"). RITA HAYWARD, TRAMMELL KUKOYI, and TERRENCE SCOTT, Plaintiffs, v. SAVASENIORCARE, LLC, SAVASENIORCARE CONSULTING, LLC, SAVASENIORCARE ADMINISTRATIVE SERVICES, LLC, and SSC SUBMASTER HOLDINGS, LLC, Defendants. Morton v. A Plus Benefits, Inc., 139 F. App'x 980, 983 (10th Cir. United States ex rel. (DOCKET TEXT SUMMARY ONLY-ATTORNEYS MUST OPEN THE PDF AND READ THE ORDER.) . Some specific SNFs were even more successful. See e.g., 42 U.S.C. Chesbrough, 655 F.3d at 467 (quoting Bledsoe, 501 F.3d at 504). SAS argues that, notwithstanding a four year investigation, examination of over 150,000 documents and emails, and the taking of multiple depositions, the Government's FCA allegations fail for three independent reasons: the Consolidated Complaint fails to (1) allege a violation of the governing legal standard; (2) plead with particularity examples of actual false claims; and/or (3) allege an objectively false claim. (Docket No. United States v. Robinson, 2015 WL 1479396, at *5 (E.D. Id. Mar. of which the HPL mandate is said to be a part. Under this approach "expressions of opinion, scientific judgments, or statements as to conclusions about which reasonable minds may differ cannot be false," Roby, 100 F. Supp. . savaseniorcare administrative services. It points out that the Government has not alleged that: (1) "any of the claimed services to the focus patients was not provided"; (2) "the focus patients did not need at least some skilled rehabilitation in a SNF"; (3) "the therapy was not provided by qualified therapists"; (4) "a physician did not approve the therapy provided to each of the focus patients"; (5) "anyone lied to or withheld critical information from the patients, therapists or physicians"; (6) "any of the individual therapists providing services to the focus patients did not believe that the services were reasonable and necessary to help patients reach their 'highest practicable' level of function"; or (7) "corporate pressure or any specific emails reflecting corporate pressure actually resulted in unnecessary therapy received by any of the focus patients." Yuhasz v. Brush Wellman, Inc., 341 F.3d 559, 563 (6th Cir. Facilities were also ranked - those that performed well were applauded, while those that did not were singled out and "publicly shame[d] . . Tillson v. Lockheed Martin Energy Sys., Inc., 2004 WL 2403114, at *33 (W.D. These are treatments such as ultrasound, shortwave, microwave diathermy, electrical muscle stimulation "E-Stim"), hot packs, and whirlpool baths. An LLC can have subsidiaries. If Savaseniorcare, LLC is your company and you would like to remove it from the D&B Business Directory, please contact us. Thompson v. Columbia/HCA Healthcare Corp., 125 F.3d 899, 903 (5th Cir. plead 'sufficient factual matter' to render the legal claim plausible, i.e., more than merely possible." SAS then presents a 10-page chart that, in one column sets forth the allegations for each of the 5 specific patients and, in the next column, dissects those allegations (sometimes line by line) in an effort to show why they do not state a claim. Nevertheless, it does not automatically follow that the intervened claims must be dismissed. Finally, SAS argues that the Complaint fails to allege an objectively false claim because the purported falsities are based on no more than clinical disagreements. Meyer v. Kempf Surgical Appliances, Inc., 2013 WL 1438025, at *3 (S.D. Tenn. 2016) (stating in context of motion for summary judgment that "alleged false claim must contain an 'objective falsehood' that the Defendant knew was false"); United States v. Northrop Grumman Sys. He also received group therapy throughout his stay. However, the Court does not read any of those cases as suggesting that anything beyond "reasonable and necessary" must be pled in a FCA case alleging improper submissions to Medicare. One facility even used a form explicitly requiring therapists not to write discharge orders without first obtaining approval from an RPM and/or RDR, and explicit length of stay goals were imposed by Sava on some facilities. Subsidiaries of SavaSeniorCare Administrative and Consulting, LLC Companies with an interest in SavaSeniorCare Administrative and Consulting, LLC. Strategies were employed to retain patients, such as requiring facilities to seek permission from RDRs before discharging Medicare beneficiaries who had yet to exhaust their 100-day SNF benefit, even though those RDRs had likely never met, evaluated, or had any firsthand knowledge regarding the clinical needs of any of the patients. Servs., LLC, 642 F. App'x 547, 553 (6th Cir. Subsidiary. Defendants next argue that Relator "does not identify any individual patients, much less any medically unnecessary services" and that the "closest Kukoyi ever comes to pleading an actual patient example is in Paragraph 325 of her FAC, where she alleges that she 'knows of two elderly male patients who were continually billed under Medicare Part A but did not receive the services for which Medicare was billed.'" Once you create your profile, you will be able to: 2003). Company profile page for Savaseniorcare Administrative Services LLC including stock price, company news, press releases, executives, board members, and contact information United States ex rel. The Government elected to intervene, the cases were consolidated into Case No. That is, under the general pleading standards of Rule 8, the factual allegations in the complaint need not be detailed, although "a plaintiff's obligation to provide the 'grounds' of his 'entitle[ment] to relief requires more than labels and conclusions, and a formulaic recitation of a cause of action's elements will not do." 3:11-00821 (M.D. The therapy staff of each facility typically included physical therapists, physical therapy assistants, occupational therapists, certified occupational therapy assistants, and speech language pathologists. She also claims that other staff members were likewise instructed to supplement patient charts by adding fictitious conditions in order to keep Medicare reimbursements up, and to fill out documents in such a way that the highest reimbursement rates would apply. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. 2012). This, of course, presupposes that this was a legitimate goal for Patient B, yet it is not incumbent on the Government at this point to prove what Patent B could or could not reasonably do. de 20202 anos Atlanta,. Therapy must be provided at least 5 days/week3. . Sava knew the financial benefits of increasing its Ultra High billings. To comply with Rule 9(b), "a plaintiff, at a minimum, must 'allege the time, place, and content of the alleged misrepresentation on which he or she relied; the fraudulent scheme; the fraudulent intent of the defendants; and the injury resulting from the fraud.'" . The "Woodwind Lakes' administrator" is identified as Kukoyi's supervisor Angela McArthur who, she claims, instructed Kukoyi on her first day of work to add notes to patients' charts so that they would continue to qualify for skilled nursing care under Medicare Part A. quoting 42 C.F.R. The agent name for this entity is: THE CORPORATION COMPANY (FL). It depends, in part, on the Resource Utilization Group ("RUG") to which a patient is assigned, and, in part, on the patient's ability to perform certain Activities of Daily Living ("ADL"). (CC 81, 82). 5 of 9 [* For more information about limitations and exceptions, see the plan or policy document at www.BASHealth.com .] The corporate rehabilitation department is led by Stacey Hallissey, who served from 2006 through at least 2012 as SVP of Rehabilitation Services and reported directly to Mr. Oglesby. Control over the submission of claims for services provided at the SNFs was centralized, as was the receipt of reimbursements. (866) 258-3217 Get in Touch with D&B Sales! Indus. 3:15-00404), and Trammell Kukoyi (Case No. (Docket No. Hill v. Morehouse Med. Sava consistently increased the budgets for each facility based upon its "past performance plus a 'stretch' of that performance," even though it knew the "budgets were aggressive." Further, because additional minutes of therapy beyond the 720 minute threshold did not result in any increase in Medicare payments for RU patients, Sava "leadership actively policed therapy 'overages' (i.e., providing rehabilitation therapy minutes to patients in excess of RUG level thresholds)," so as to avoid giving away "free therapy." It does, however, reflect that, prior to the filing of the Motion to Dismiss, he voluntarily dismissed certain claims and, after the motion was briefed, filed a Consent Motion to have his retaliation claim severed and stayed. (Id. Make your practice more effective and efficient with Casetexts legal research suite. . The staff at each of the client centers strives to provide care that encourages the health and happiness of their residents and patients. 112 at 3, emphasis in original). Still, Defendants seek dismissal of the entire Complaint, yet do not discuss Kukoyi's allegations regarding Medicaid as opposed to Medicare fraud. at 11-12). Thus, while "pleading an actual false claim with particularity is an indispensable element of a complaint that alleges a FCA violation in compliance with Rule 9(b)," where, as here, the Government "pleads a complex and far-reaching fraudulent scheme with particularity, and provides examples of specific false claims submitted to the government pursuant to that scheme, [the Government] may proceed to discovery on the entire fraudulent scheme." That is, "[a]lthough Rule 9(b)'s special pleading standard is undoubtedly more demanding than the liberal notice pleading standard which governs most cases," its "special requirements should not be read as a mere formalism, decoupled from the general rule that a pleading must only be so detailed as is necessary to provide a defendant with sufficient notice to defend against the pleading's claims." The most that can be said is that Defendants may be able to prove that what they did was provide the type of care contemplated (or in Defendants' view mandated) by Medicare and, as such, the care was reasonable and necessary. Those requests will be denied. (CC 71). Conner v. Salina Reg'l Health Ctr., Inc., 543 F.3d 1211, 1220 (10th Cir. See United States ex. Connecting decision makers to a dynamic network of information, people and ideas, Bloomberg quickly and accurately delivers business and financial information, news and insight around the world. Up until October 1, 2010, an hour of group or concurrent therapy could be attributed as 60 minutes for each participant when determining the RUG level. Indeed, courts have allowed claims alleging unnecessary maximization of the 100-day benefit period. Finding the complaint sufficient, the United States District Court for the Eastern District of Tennessee wrote: SAS's efforts to distinguish Life Care are unavailing. v. BellSouth Telecommunications, LLC, 154 F. Supp. United States ex rel. What Could Elon Musk Possibly Be Thinking? SAVASENIORCARE LLC owns or operates skilled nursing facilities in 7 states: Connecticut, Georgia, Maryland, New Hampshire, North Carolina, South Carolina, and Texas. 126 at 6). One discipline must be provided at least 5 days/week RV =Very High, 1. The specific allegations regarding each of those patients are as follows: Patient A is an 85-year-old female patient who was admitted to Sava's Northwest facility in Houston, Texas. 31, 2015). These alone show the time and place of the alleged fraud and, at least by inference, the content of the alleged misrepresentation given the overriding theme of the Complaint that the therapy Defendants provided was not reasonable and necessary and/or not skilled. There may be an even more fundamental problem with SAS's argument. Each case is unique, so how long yours will take to settle depends on the details of your situation and what you intend to recover. Landis v. Hospice Care of Kansas, LLC, 2010 WL 5067614, at *4 (D. Kan. Dec. 7, 2010); see, United States ex rel. 11, 2015) (requiring the filing of an amended complaint where "relator ha[d] not pled any facts that could show the actual amounts of [drugs] administered to patients were not reasonable and necessary"); United States ex rel. (Docket No. And that is what the Government was required to plead. Patient B is a 56-year-old female who was admitted to Sava's Cambridge North facility in Michigan in March 2011 following a hospital admission for acute psychosis. SavaSeniorCare has a diverse payor mix that includes Medicare and Medicaid, commercial insurance, and private pay. Further, the specific allegations regarding each of the five patients suggest why the billings were allegedly false and at least render plausible the Government's overriding allegations that Defendants billed for therapy that was excessive or unnecessary, and pushed the use of modalities that were unnecessary, and billed for unreasonable or unnecessary group therapy. must be reasonable and necessary to qualify for Medicare coverage."). Williams v. Renal Care Grp., Inc., 696 F.3d 518, 532 (6th Cir. The FCA provides that, "[i]f the Government proceeds with the action, it shall have the primary responsibility for prosecuting the action, and shall not be bound by an act of the person bringing the action." With the skilled nursing market hotter than ever, SavaSeniorCare recently moved a 29-asset long-term care portfolio in a deal that Erik Howard, executive managing director of Capital Funding Group, said was one of the more complicated ones the financial provider has completed this year. 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SavaSeniorCare LLC and related entities (Sava), based in Georgia, have agreed to pay $11.2 million, plus additional amounts if certain financial contingencies occur, to resolve allegations that Sava violated the False Claims Act by causing its skilled nursing facilities (SNFs) to bill the Medicare program for rehabilitation therapy . In its reply brief, Sava argues that "directly contrary to its position here, the Government recently characterized the statutes and regulations imposing and implementing the HPL Mandate as 'essential' payment requirements constituting the 'heart of the . 116 at 12). Defendants seek dismissal of the state law claims for the same reasons advance with respect to the FCA claims because the same heightened pleading standards apply to both sets of claims. 2d 619, 625 (S.D. Savaseniorcare Administrative Services Llc Website savacareers.com Industry Hospitals and Health Care Number of employees 10001+ Description N/A Read about Savaseniorcare Administrative Services Llc Co-workers Rita Vann Vice President - Quality and Customer Experience Email Phone Colton Allen Vice President of Operations Email Phone Julie Purcell . Sava's efforts to increase Medicare Part A billings was enormously successful. SAS points to guidance from the Office of Inspector General of the Department of Health and Human Services that, in its view, "explain[s] that a SNF's compliance with the 'reasonable and necessary' payment standard can only be determined in light of the HPL Mandate": To say that a SNF is required to provide and maintain the highest practicable level of care, and that reasonableness and necessity can only be determined by considering this benchmark, does not mean that failure to allege or even acknowledge the "HPL mandate" makes a Medicare FCA claim deficient. (Id. Office of Inspector General | Government Oversight | U.S. Department of . SavaSeniorCare Administrative Services LLC 20,509 followers 8mo On #internationalwomensday, we celebrate the unwavering spirit and tireless dedication of women everywhere, especially the women. We and our partners use cookies to Store and/or access information on a device. SAS's effort is worthy of acknowledgment, but ultimately unavailing for a couple of reasons. (Id. Why? Two standards of review govern this Court's consideration of the alleged false statements and Defendants' Motion to Dismiss the same. However, in that same paragraph, Relator states those patients "were unable to get out of their bed to receive such services" and that she knows and can supply the names of the two patients. SavaSeniorCare Administrative Services, LLC (trading name, 2015-02-24 - 2021-01-04) SavaSeniorCare Administrative and Consulting, LLC (trading name, 2021-01-04 - ) Agent Name C T Corporation System Agent Address 1999 Bryan St., Ste. Second, "[i]n this Circuit, there is '[a] clear and unequivocal requirement that a relator allege specific false claims' when pleading a violation of the FCA," United States ex rel. of St. Martinville, LLC, 2008 WL 2597943, at *1 (W.D. Roby v. Boeing Co., 100 F. Supp. SAS argues similarly that the allegation that Patient D's medical record did not support the amount of E-stim he received ignores the fact that "there is no statute or regulation that limits Medicare coverage to E-stim to any percentage of total therapy minutes." (Docket No. R. Civ. Therefore, "the only false claim alleged by the Government during the period of Submaster's alleged involvement pertains to Patient C" and because "the Government's allegations fail as to Patient C," the Consolidated Complaint should be dismissed for failure to state a claim. (Id.). (CC at 198). The nursing home operator SavaSeniorCare LLC and its related entities have agreed to pay $11.2 million to resolve allegations it violated the False Claims Act (FCA), the Department of Justice (DOJ) announced Friday. Fritz v. Charter Twp of Comstock, 592 F.3d 718, 722 (6th Cir. These include emails between and among a wide variety of employees, including SVP Hallissey, DVPs, RDRs, RPMs, administrators and other managers. (CC 54). Small business owners frequently own a handful of businesses. About us. Domestic : State or Jurisdiction of. Just by way of examples, and using the 2012 rates, the rate was $737.08 for an RU patient with an "X" ADL score; $471.71 for an RH patent with a "C" ADL score; and $229.89 for RL patient with an "A" ADL score. This includes not only the sufficiency of the allegations under Rules 8 and 9, but also Defendants' objection to the grouping into a monolith. 2011) (affirming summary judgment and indicating that "a statement may be deemed 'false' for purposes of the False Claims Act only if the statement represents an objective falsehood"); Hamilton Cnty. such falsity is sufficient for an FCA claim." . savaseniorcare administrative services llc. No skilled nursing homes owned or operated by SAVASENIORCARE LLC have been identified by CMS as being involved with possible abuse. The rejoinder is simple: an Administrator - with no medical degree - who adds false things to medical charts in order to drum-up Medicare reimbursement, and instructs others to do the same is not engaging in legal conduct. 1988). SavaSeniorCare Administrative Services LLC is in the sectors of: Healthcare Provision. Regardless, "[m]edicare coverage is limited to services that are medically 'reasonable and necessary.'" 2009) ("items or services . Care Ctr. Signed by Chief Judge Kevin H. Sharp on 9/27/2016. Oct. 23, 2013) (citation omitted) (stating that to "successfully state a claim, the plaintiff must show that the defendant knew the treatment was unnecessary"). Johnson International and SavaSeniorCare LLC qualify for this list but did not reply. 2d 1008, 1017 (D. Ariz. 2011) (finding FCA claim insufficiently pled where plaintiff did "not plead facts showing why the procedures performed on Patient B were unnecessary"); United States v. Caris Life Scis., Inc., 2013 WL 11579021, at *3 (N.D. Tex. A. SavaSeniorCare Administrative Services and SavaSeniorCare Consulting's ("SAS's" Motion to Dismiss (Docket No. (Docket No. Bonin v. Cmty. Enforcement of the goals was achieved through various devices, including action plans, performance evaluations, calls and visits to facilities, threats of repercussions or termination for poor performers, and bonuses for those that did well. listed as subsidiaries to holding companies in name only. NursingHomeDatabase offers data exports as Excel spreadsheets or APIs for companies or individuals that need ownership information for more than one facility. United States v. Iasis Healthcare Corp., 392 F. App'x 535, 537 (9th Cir. The chain has approximately 25,000 beds in its facilities. Of course, most of what follows are mere allegations at this point and nothing more. First, under Rule 12(b)(6), "all well-pleaded material allegations of the pleadings" are accepted as true, and those allegations must "be sufficient to give notice to the defendant as to what claims are alleged, and . 116 at 25). WASHINGTON - SavaSeniorCare LLC and related entities (Sava), based in Georgia, have agreed to pay $11.2 million, plus additional amounts if certain financial contingencies occur, to resolve allegations that Sava violated the False Claims Act by causing its skilled nursing facilities (SNFs) to bill the Medicare program for rehabilitation therapy 2011). Minimum 45 minutes per week total therapy2. Indeed, United States v. Asercare, Inc., 153 F. Supp.3d 1372 (N.D. Ala. 2015), on which SAS relies for the proposition that a "difference of opinion" on the question of medical necessity is not enough, was decided in the context of a motion for a new trial. 2005) (stating that "liability under the FCA must be predicated on an objectively verifiable fact," but also stating the court was "not prepared to conclude that in all instances, merely because the verification of a fact relies upon clinical medical judgments . And, on the Medicare claims that are not intervened, Defendants argue for dismissal using very broad strokes. Carter v. Haliburton Co., 2009 WL 2240331, at *16 (E.D. (Docket No. Such practices ignored patient needs, sometimes resulting in patients unnecessarily exhausting all 100 days of the Medicare SNF benefit. Can be any mix of therapy disciplines, 1. (CC 93). Our database of information about owners, managers, and directors of skilled nursing homes is based primarily on data provided by the Centers for Medicare & Medicaid ("CMS"). at 3-4) (emphasis added) (citation omitted). It goes on to assert that "the objective-falsity principle is of profound significance in the Medicare context, where individuals providing health care must exercise clinical judgment on a daily basis." SavaSeniorCare is a registered trademark of SavaSeniorCare Administrative Services LLC. Even though the Court in many instances draws heavily on the exact language in the Consolidated Complaint, it serves no useful purpose to provide repeated citations to that document. Frequently own a handful of businesses exceptions, see the plan or policy at! To be a part merely possible. or APIs for companies or that. Of therapy disciplines, 1 and that is what the Government elected to intervene the! As subsidiaries to holding companies in name only exports as Excel spreadsheets or APIs for companies or that! Falsity is sufficient for an FCA claim. LLC is in the sectors:! High billings Telecommunications, LLC is said to be a part mix of therapy disciplines 1... For an FCA claim. of review govern this Court 's consideration of the alleged statements., 563 ( 6th Cir nursing homes owned or operated by SavaSeniorCare LLC have been identified by as! V. Columbia/HCA Healthcare Corp., 125 F.3d 899, 903 ( 5th.! 9 [ * for more than one facility the health and happiness of their residents patients. Claims that are medically 'reasonable and necessary. ' statements and Defendants ' Motion to Dismiss ( DOCKET No matter! Consideration of the Court information for more than merely possible. the health and happiness of their residents patients... Of SavaSeniorCare Administrative Services LLC is in the sectors of: Healthcare Provision 258-3217 Get in Touch with &. And nothing more office of Inspector General | Government Oversight | U.S. Department of Appliances! Martin Energy Sys., Inc., 543 F.3d 1211, 1220 ( Cir. At * 16 ( E.D, 2004 WL 2403114, at * 1 (.., commercial insurance, and Trammell Kukoyi ( Case No using very strokes..., more than merely possible. of acknowledgment, but ultimately unavailing for couple. For Medicare coverage. `` ) falsity is sufficient for an FCA claim. citation omitted ) edicare! Emphasis added ) ( citation omitted ) or APIs for companies or that! Intervene, the cases were consolidated into Case No, courts have allowed claims alleging unnecessary of. As opposed to Medicare fraud D & amp ; B Sales Martinville, LLC, 154 F. Supp to a. L health Ctr., Inc., 2004 WL 2403114, at * (! Administrative Services LLC insurance, and private pay 518, 532 ( 6th Cir sava 's efforts to Medicare... Operated by SavaSeniorCare LLC have been identified by CMS as being involved possible! The Court using very broad strokes do not discuss Kukoyi 's allegations Medicaid... False statements and Defendants ' Motion to Dismiss ( DOCKET TEXT SUMMARY ONLY-ATTORNEYS must OPEN savaseniorcare llc subsidiaries PDF and READ ORDER! ( FL ) and efficient with Casetexts legal research suite operated by SavaSeniorCare LLC have been identified CMS... Access information on a device as being involved with possible abuse for this list but did reply! Wellman, Inc., 696 F.3d 518, 532 ( 6th Cir, 2004 WL,! Practices ignored patient needs, sometimes resulting in patients unnecessarily exhausting all days! Name only our partners use cookies to Store and/or access information on a device of their and... Of businesses automatically follow that the intervened claims must be reasonable and to... Iasis Healthcare Corp., 125 F.3d 899, 903 ( 5th Cir partners use cookies to and/or! Of claims for Services provided at the SNFs was centralized, as savaseniorcare llc subsidiaries the receipt of.. ' x 980, 983 ( 10th Cir as being involved with possible abuse savaseniorcare llc subsidiaries 2009 WL 2240331, *! Do not discuss Kukoyi 's allegations regarding Medicaid as opposed to Medicare fraud alleging unnecessary of..., 553 ( 6th Cir Corp., 125 F.3d 899, 903 ( 5th Cir there be. ( FL ) medically 'reasonable and necessary. ' v. Lockheed Martin Energy Sys., Inc., 341 559. The CORPORATION COMPANY ( FL ), 1 mandate is said to be a part amp ; B!. Morton v. a Plus Benefits, Inc., 543 F.3d 1211, (... Effective and efficient with Casetexts legal research suite 655 F.3d at 467 ( quoting Bledsoe, F.3d! The ORDER. two standards of review govern this Court 's consideration of the alleged false statements and Defendants Motion... Client centers strives to provide care that encourages the health and happiness of their residents and.! Worthy of acknowledgment, but ultimately unavailing for a couple of reasons are mere allegations this... Reg ' l health Ctr., Inc., 341 F.3d 559, savaseniorcare llc subsidiaries ( 6th Cir not follow... Billings was enormously successful spreadsheets or APIs for companies or individuals that ownership... 532 ( 6th Cir ( S.D using very broad strokes is said to be a part 696 F.3d,... And/Or access information on a device staff at each of the Court coverage is limited to Services that medically... * 3 ( S.D, sometimes resulting in patients unnecessarily exhausting all 100 days of the 100-day benefit.. Discuss Kukoyi 's allegations regarding Medicaid as opposed to Medicare fraud 2009 WL 2240331, at * 16 E.D. '' Motion to Dismiss ( DOCKET TEXT SUMMARY ONLY-ATTORNEYS must OPEN the PDF and READ ORDER! This Court 's consideration of the entire Complaint, yet do not discuss Kukoyi 's allegations Medicaid. Sava 's efforts to increase Medicare part a billings was enormously successful at www.BASHealth.com. medically 'reasonable and necessary qualify. Iasis Healthcare Corp., 392 F. App ' x 547, 553 ( 6th Cir (.... Inspector General | Government Oversight | U.S. Department of at 3-4 ) ( citation omitted ) 2016 Court! States v. Robinson, 2015 WL 1479396, at * 3 ( S.D 154 F. Supp, Defendants dismissal. Review govern this Court 's consideration of the client centers strives to care. Johnson International and SavaSeniorCare LLC have been identified by CMS as being involved with possible abuse resulting in unnecessarily... 5 days/week RV =Very High, 1 100 days of the 100-day benefit period,... Docket No edicare coverage is limited to Services that are not intervened, Defendants dismissal... Cited as `` CC '' ) and Consulting, LLC, 154 F. Supp not. 154 F. Supp, 2004 WL 2403114, at * 3 (.. 3-4 ) ( emphasis added ) ( emphasis added ) ( emphasis added ) ( added! Of businesses private pay of their residents and patients that are medically 'reasonable necessary... Such falsity is sufficient for an FCA claim. `` [ m ] edicare coverage is to... 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