The A.I.M. Center, Inc. (AIM), which operates a community mental health facility located in Chattanooga, Tenn., has agreed to pay $800,000 to settle allegations that it violated the federal False Claims Act (FCA) and the Tennessee Medicaid False Claims Act (TNMFCA). This settlement resolves an investigation into AIM's billing practices which began with the filing of an action by a former member of the facility on behalf of the United States and the State of Tennessee under the qui tam, also known as whistle-blower, provisions of both the FCA and the TNMFCA. The United States and the State of Tennessee subsequently filed a joint intervention complaint.
As a result of a joint federal and state investigation, the government alleged in the joint complaint that, from 2009 through 2012, the AIM Center knowingly submitted numerous false claims to the TennCare/Medicaid program by overcharging for psychosocial rehabilitation (PSR) services provided to TennCare/Medicaid facility members. Specifically, the government alleged that the AIM Center engaged in a practice commonly known as "upcoding" by submitting claims for services that were more lengthy and more expensive than the services actually provided. For example, the AIM Center submitted claims for a full day (per diem) of PSR services for TennCare/Medicaid members even when the members spent as little as 5 minutes to an hour at the facility...read the A.I.M. Center release.
On October 13, 2013 Attorney General Bob Cooper and the Division of Consumer Affairs announced that Tennessee was part of a multistate settlement with Connecticut-based Affinion, and its subsidiaries Trilegiant and Webloyalty. As a result of the settlement, Affinion agreed to pay over $30 million to settle allegations that they misled consumers into signing up and paying for discount clubs and memberships. The deadline for submitting those complaints to the Division of Consumer Affairs is February 14, 2014. Complaints should be sent to: Consumer Affairs 500 James Robertson Pkwy 12th Floor Nashville, TN 37243-0600...read the Affinion release.
Tennessee Attorney General Bob Cooper is urging all Tennessee residents who shop at Target stores to take advantage of one year of free credit monitoring being offered by the retail company in the wake of the massive data breach announced last month.
"I strongly encourage any Target customers to take advantage of this offer, regardless of whether they've identified suspicious activity in their personal accounts," said Attorney General Cooper. "Additionally, consumers should take the proactive steps of monitoring their bank account activity, and changing their PIN numbers and passwords. My office will continue to work on behalf of Tennesseans to ensure they receive all protections under the law in the wake of this nationwide breach."...read the Target release.
Tennessee has filed a lawsuit against various entities operating a 'timeshare' and membership vacation club that allegedly employs deceptive techniques to market their products, Attorney General Bob Cooper and the Tennessee Division of Consumer Affairs of the Tennessee Department of Commerce and Insurance (TDCI) announced today. Tennessee's lawsuit comes after a multi-state investigation of Festiva's sales and marketing practices. Maine and Louisiana each filed suit against Festiva during December.
Tennessee's Complaint alleges that Festiva operates a telemarketing and direct mail enterprise that uses fraudulent and deceptive tactics to lure Tennesseans into attending high-pressure sales presentations to buy vacation memberships. According to complaints reviewed by the Tennessee Attorney General's Office, consumers are misled into believing that they have won or been selected for a valuable prize, but to claim the prize, they must comply with many undisclosed requirements including a lengthy, high-pressure sales presentation...read the Festiva release.