In the largest Medicare Advantage fraud settlement to date, Oakland, Calif.-based Kaiser Permanente agreed to pay $556 million to resolve allegations it violated the False Claims Act by submitting unsupported diagnosis codes to Medicare Advantage.
The government alleged the scheme occurred between 2009 and 2018 in California and Colorado, according to a complaint filed in 2021.
Here are 10 things that ASCs and physicians need to know:…