Complete Health Partners Holdings, headquartered in Jacksonville, Florida, has agreed to pay $14,100,000, to resolve allegations that they violated the False Claims Act by causing the submission of false diagnosis codes in order to increase payments that they received from the Medicare Advantage program.
“As the Medicare Advantage program continues to grow, providers who participate in the program must be held to account when they attempt to improperly profit at the taxpayer’s expense,” said Assistant Attorney General Brett A. Shumate of the Justice Department’s Civil Division. “This settlement reflects the Department’s commitment to protecting taxpayer money and ensuring that Medicare payments are based on information that is true and accurate.”
“Health care fraud enforcement has long been a cornerstone of the mission of this office,” said U.S. Attorney Gregory W. Kehoe for the Middle District of Florida. “This settlement sends a strong message to our district, its residents, and medical providers doing business here, that our focus on this vital practice area has not wavered.”
“Companies that attempt to improperly boost their own profits by reporting bogus medical conditions of Medicare Advantage enrollees — as alleged in this case — will be held responsible for their actions,” said Special Agent in Charge Isaac M. Bledsoe of the Department of Health and Human Services Office of Inspector General (HHS-OIG). “Today’s settlement demonstrates our office’s commitment to...
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