AIDS Healthcare Foundation will pay $1.44 million to resolve allegations that it violated federal law by submitting false or invalid codes to inflate payments from the Medicare Advantage program.
The settlement addresses claims that the Los Angeles-based nonprofit didn’t timely investigate and delete diagnosis codes that were either inaccurate or not documented in medical records between 2017 and 2023 in violation of the False Claims Act, the US Justice Department said Tuesday.
AHF knowingly submitted HIV diagnosis codes where the diagnosis wasn’t documented in any medical record for a face-to-face visit, as required by CMS for payment year 2017. AHF’s ...
AIDS Healthcare Foundation will pay $1.44 million to resolve allegations that it violated federal law by submitting false or invalid codes to inflate payments from the Medicare Advantage program. ...