Anonymous ID: 4dffcd Oct. 1, 2018, 10:34 a.m. No.3280298   🗄️.is đź”—kun

Department of Justice

Office of Public Affairs

FOR IMMEDIATE RELEASE

Monday, October 1, 2018

Medicare Advantage Provider to Pay $270 Million to Settle False Claims Act Liabilities

 

DaVita voluntarily disclosed to the government various practices that were instituted by HealthCare Partners, a large California-based independent physician association that DaVita acquired in 2012, that caused MAOs to submit incorrect diagnosis codes to CMS and obtain inflated payments in which DaVita and HealthCare Partners shared. For example, HealthCare Partners disseminated improper medical coding guidance instructing its physicians to use an improper diagnosis code for a particular spinal condition that yielded increased reimbursement from CMS. Based on these self-disclosures, and DaVita’s cooperation with the government’s subsequent investigation, the United States agreed to a favorable resolution of potential claims arising from the conduct.

 

The settlement also resolves allegations made by a whistleblower that HealthCare Partners engaged in “one-way” chart reviews in which it scoured its patients’ medical records for diagnoses its providers may have failed to record. It then submitted these “missed” diagnoses to MAOs to be used by them in obtaining increased Medicare payments. At the same time, it ignored inaccurate diagnosis codes that should have been deleted and that would have decreased Medicare reimbursement or required the MAOs to repay money to Medicare.

 

“This settlement demonstrates our tireless commitment to rooting out fraud that drains too many taxpayer dollars from public health programs like Medicare,” said United States Attorney Nick Hanna. “This case involved illegal conduct in which patients’ medical conditions were improperly reported and were not corrected after further review – all for the purpose of boosting the bottom line. We will continue to pursue and hold accountable any entity that seeks to illegally increase revenue at the expense of the Medicare Advantage so that the program may continue to remain viable for all who need it.”

 

https://

www.justice.gov/opa/pr/medicare-advantage-provider-pay-270-million-settle-false-claims-act-liabilities

Anonymous ID: 4dffcd Oct. 1, 2018, 10:58 a.m. No.3280616   🗄️.is đź”—kun

Top Kek, Flynn Jr.:

 

Sure you’re not the one with the alcohol problem?

 

Your constant ranting, raving, and other lunatic behavior would suggest you do..

 

#LowIQ @RepMaxineWaters

 

Responding to MadMax:

 

Kavanaugh, so many have come forward describing your abuse of alcohol. I think it is important that the American people know if you have ever sought treatment for alcohol abuse.

 

cst.