False Claims Act Suit Over Rigged Preauthorization Scheme Survives Dismissal

(April 15, 2020, 2:19 PM EDT) -- CHICAGO — A federal judge in Illinois on March 26 found that a former chief medical officer of a third-party company hired by insurers participating in Medicare Advantage (MA) plans to conduct preauthorization screenings sufficiently stated a claim against the company under the False Claims Act regarding its screening protocol, but dismissed her cause of action against the parent company (United States, ex rel. Susan Nedza v. American Imaging Management Inc., et al., No. 15 C 6937, N.D. Ill., 2020 U.S. Dist. LEXIS 52415)....