Free Consultation Hablamos Español
Phone: 727-446-7505

CA Health Care Provider To Pay $5M To Settle Fraud Allegations

A California health care provider and one of its doctors have agreed to pay over $5 million to settle claims by the Federal government that it submitted false claims to Medicare.

Federal prosecutors say the California firm contracted with several area Medicare Advantage Organizations (MAO) to provide its enrollees with health care services in exchange for a share of the payments it receives from Medicare. As Medicare pays MAOs more for patients with more severe diagnoses, investigators say the firm took advantage of the fact by submitting additional diagnosis codes that did not match the patients’ actual health to the MAOs.

 

According to investigators, the doctor in question knowingly submitted false codes to the MAOs in order to receive inflated payments on behalf of the health care provider and with the health care provider’s full knowledge. The Federal government became aware of the alleged fraud as a result of a claim brought under the whistleblower (or qui tam) provisions of the False Claims Act (a/k/a “Lincoln’s Law”), allowing a whistleblower to file suit and turn the suit over to the Federal government if it finds merit in the claims.

The health care provider agreed to pay to the Federal government a payment of $5,039,180 to resolve the claims against it without going to trial.

The Law Offices of Bjorn Brunvand have been representing people charged with capital murderfelony drug chargesdrunk drivinggovernment fraud, and white-collar crimes for over a quarter century. Contact our office today to discuss your Tampa Bay-area state or federal charges.

 

No Comments

Leave a comment
Comment Information
  • American inns of court
  • norml
  • National association of criminal defense lawyers
  • Clearwater bar association
  • Florida Association of Criminal Defense Lawyers

Let Us Help You

Bold labels are required.

Contact Information
disclaimer.

The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.

close

Privacy Policy

Clearwater Office
615 Turner Street
Clearwater, FL 33756

Phone: 727-315-1685
Phone: (727) 446-7505
Fax: 727-446-8147
Clearwater Law Office Map

Tampa Office
902 N. Armenia Avenue
Tampa, FL 33609

Phone: 727-315-1685
Map & Directions

Please Direct All Correspondence to the Clearwater Office