Don’t ignore warnings that your billing statistics are sticking out like a sore thumb. Five rural home health agencies in Iowa and South Dakota will pay $3.1 million after being accused of furnishing therapy services that were medically unnecessary and/or not skilled, the Department of Justice says in a release. A federal judge has ordered Sergeant Bluff Healthcare in Iowa to pay about $1.2 million; Red Oak Healthcare in Iowa to pay $228,000; Logan Healthcare in Iowa to pay $775,000; Elk Point Healthcare #1 in South Dakota to pay $788,000; and Flandreau Healthcare 2 in South Dakota to pay $116,000. The agencies are all affiliates of Welcov Healthcare, which is in bankruptcy proceedings in Minnesota court. Disregarded: “The companies received notifications that their claims for therapy services were inordinately high,” the DOJ says. “The companies failed to take adequate steps to address their billing procedures after receiving the notifications.” The case involved therapy services furnished by third-party providers, reports the Sioux City Journal. Lantis Enterprises now manages two of the Iowa locations under the “WEL-Home” name, the newspaper says.