Government Reaches $90M Settlement With Health Care Provider Over FCA Claims

Mealey's (September 8, 2021, 1:37 PM EDT) -- SAN FRANCISCO — A nonprofit health care provider and certain of its affiliates will pay $90 million to resolve claims with the U.S. government alleging that the defendants violated provisions of the False Claims Act (FCA) by using fraudulent diagnostic codes to seek overpayment from the Medicare Advantage Program for patient treatment at the provider’s facilities, according to a settlement agreement reached between the government and the defendants that was filed Aug. 30 in California federal court....