Connect with us

International

US sues Kaiser Permanente over suspected Medicare fraud

 


SAN FRANCISCO (AP) The federal government sued Kaiser Permanente, alleging the healthcare giant committed Medicare fraud and pressured doctors to list incorrect diagnoses on medical records in order to receive higher refunds, officials said on Friday.

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

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

The lawsuit said Kaiser’s entities played on the Medicare Advantage Plan system, also known as the Medicare Part C program, which gives beneficiaries the option to enroll in managed care insurance plans, according to a statement. from the US Department of Justice.

The lawsuit argues that Kaiser pressured his doctors to create addenda to medical records, often months or more than a year after an initial consultation with a registrant, as more serious diagnoses for beneficiaries usually result in larger payments to the plan.

The integrity of government health care programs must be protected, Stephanie Hinds, acting U.S. lawyer for the Northern District of California, said in the statement. The Medicare Advantage program preserves the health of millions of people, and wrongful acts that defraud the program cannot continue and will be prosecuted.

Kaiser defended his practices and called the filing a disappointment.

Our policies and practices represent reasoned, good faith interpretations of sometimes vague and incomplete guidelines from the agency that oversees Medicare, Kaiser said in a statement to the Sacramento Bee.

If the government wins its case, Kaiser could end up paying hundreds of millions of dollars in penalties and damages, said Edward Baker, an attorney representing a whistleblower in the case.

Lawsuit names Kaiser Foundation Health Plan Inc .; Colorado Kaiser Foundation Health Plan; Le Groupe Médical Permanente Inc .; Southern California Permanente Medical Group Inc. and Colorado Permanente Medical Group PC

Sources

1/ https://Google.com/

2/ https://apnews.com/article/business-health-medicare-566111a018e5e8f3d0224180050cbf0a

The mention sources can contact us to remove/changing this article

What Are The Main Benefits Of Comparing Car Insurance Quotes Online

LOS ANGELES, CA / ACCESSWIRE / June 24, 2020, / Compare-autoinsurance.Org has launched a new blog post that presents the main benefits of comparing multiple car insurance quotes. For more info and free online quotes, please visit https://compare-autoinsurance.Org/the-advantages-of-comparing-prices-with-car-insurance-quotes-online/ The modern society has numerous technological advantages. One important advantage is the speed at which information is sent and received. With the help of the internet, the shopping habits of many persons have drastically changed. The car insurance industry hasn't remained untouched by these changes. On the internet, drivers can compare insurance prices and find out which sellers have the best offers. View photos The advantages of comparing online car insurance quotes are the following: Online quotes can be obtained from anywhere and at any time. Unlike physical insurance agencies, websites don't have a specific schedule and they are available at any time. Drivers that have busy working schedules, can compare quotes from anywhere and at any time, even at midnight. Multiple choices. Almost all insurance providers, no matter if they are well-known brands or just local insurers, have an online presence. Online quotes will allow policyholders the chance to discover multiple insurance companies and check their prices. Drivers are no longer required to get quotes from just a few known insurance companies. Also, local and regional insurers can provide lower insurance rates for the same services. Accurate insurance estimates. Online quotes can only be accurate if the customers provide accurate and real info about their car models and driving history. Lying about past driving incidents can make the price estimates to be lower, but when dealing with an insurance company lying to them is useless. Usually, insurance companies will do research about a potential customer before granting him coverage. Online quotes can be sorted easily. Although drivers are recommended to not choose a policy just based on its price, drivers can easily sort quotes by insurance price. Using brokerage websites will allow drivers to get quotes from multiple insurers, thus making the comparison faster and easier. For additional info, money-saving tips, and free car insurance quotes, visit https://compare-autoinsurance.Org/ Compare-autoinsurance.Org is an online provider of life, home, health, and auto insurance quotes. This website is unique because it does not simply stick to one kind of insurance provider, but brings the clients the best deals from many different online insurance carriers. In this way, clients have access to offers from multiple carriers all in one place: this website. On this site, customers have access to quotes for insurance plans from various agencies, such as local or nationwide agencies, brand names insurance companies, etc. "Online quotes can easily help drivers obtain better car insurance deals. All they have to do is to complete an online form with accurate and real info, then compare prices", said Russell Rabichev, Marketing Director of Internet Marketing Company. CONTACT: Company Name: Internet Marketing CompanyPerson for contact Name: Gurgu CPhone Number: (818) 359-3898Email: [email protected]: https://compare-autoinsurance.Org/ SOURCE: Compare-autoinsurance.Org View source version on accesswire.Com:https://www.Accesswire.Com/595055/What-Are-The-Main-Benefits-Of-Comparing-Car-Insurance-Quotes-Online View photos

ExBUlletin

to request, modification Contact us at Here or [email protected]