LOS ANGELES – Monogram Health Professional Services PC and Monogram Health Inc., headquartered in Tennessee, have agreed to pay $2.4 million to resolve allegations that they violated the False Claims Act by causing the submission of false diagnosis codes to increase payments that they received from the Medicare Advantage program.
“When it comes to how federal money is being spent, taxpayers deserve to know that this Justice Department is looking out for them,” said First Assistant U.S. Attorney Bill Essayli. “My office will continue to work to ensure that money for public health programs is spent how it’s intended, as today’s settlement shows.”
“When companies submit false diagnosis codes, they unlawfully exploit a system built to support vulnerable seniors,” said Assistant Attorney General Brett A. Shumate of the Justice Department’s Civil Division. “This settlement reinforces the Department’s commitment to protecting taxpayer money and ensuring that Medicare Advantage payments are based on accurate information.”
“Health care companies that seek to inflate profits by inaccurately reporting the medical conditions of Medicare Advantage enrollees will be held accountable,” said Acting Deputy Inspector General for Investigations Miranda L. Bennett of the Department of Health and Human Services Office of Inspector General (HHS‑OIG). “This settlement underscores HHS‑OIG’s commitment to protecting the integrity of taxpayer‑funded federal health care programs. Medicare Advantage...
A health care provider has agreed to pay $2.4 million to resolve allegations that it violated the False Claims Act by causing the submission of false diagnosis codes to increase payments under the ...