Anonymous ID: 1aa11f Aug. 1, 2021, 8:37 a.m. No.14244433   🗄️.is 🔗kun   >>4454 >>4477

US SUES KAISER PERMANENTE OVER ALLEGED MEDICARE FRAUD

 

SAN FRANCISCO (AP) - The federal government has sued Kaiser Permanente, alleging the health care giant committed Medicare fraud and pressured doctors to list incorrect diagnoses on medical records in order to receive higher reimbursements.

The Department of Justice lawsuit was filed Thursday in San Francisco federal court. It consolidates allegations made in six whistleblower complaints.

Oakland, California-based Kaiser told the Sacramento Bee that its practices are good-faith interpretations from guidance received from the agency that oversees Medicare.

A lawyer for one whistleblower says if Kaiser loses, it might have to pay hundreds of millions of dollars in penalties and damages.

 

https://www.actionnewsnow.com/content/news/US-sues-Kaiser-over-alleged-Medicare-fraud-574987311.html

Anonymous ID: 1aa11f Aug. 1, 2021, 8:44 a.m. No.14244477   🗄️.is 🔗kun

>>14244433

Kaiser, based in Oakland, is a consortium of entities that together form one of the largest nonprofit health care plans in the U.S. with more than 12 million members and dozens of medical centers.

 

The lawsuit said Kaiser entities gamed the Medicare Advantage Plan system, also known as the Medicare Part C program, which gives beneficiaries the option of enrolling in managed care insurance plans, according to a statement from the U.S. Department of Justice.

 

The lawsuit contends that Kaiser “pressured its physicians to create addenda to medical records,” often months or more than a year after an initial consultation with an enrollee, because more severe diagnoses for beneficiaries generally result in larger payments to the plan.

 

https://sacramento.cbslocal.com/2021/07/31/kaiser-permanente-sued-alleged-medicare-fraud/