Consent Judgment Entered Against Bucks County Company Resolving Allegations of False Claims for Billing Group Art Classes in Assisted Living and Adult Day Facilities as Occupational Therapy

PHILADELPHIA – U.S. Attorney David Metcalf announced today that the United States District Court for the Eastern District of Pennsylvania has entered a consent judgment against Segal Arts, LLC, and its sole owner and manager, Irina Segal. In its complaint against Segal and her business, the United States alleges that they violated the False Claims Act, 31 U.S.C. § 3729–3733, by submitting or causing the submission of claims for payment to Medicare for one-on-one occupational therapy services that were not provided. Instead of the medically necessary one-on-one therapeutic exercise described in Segal Arts’ Medicare billing, Segal Arts provided group arts-and-crafts sessions to Medicare beneficiaries at assisted living and similar facilities in Pennsylvania and New Jersey.

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