Constantine Cannon: U.S. Intervenes in Whistleblower Lawsuit Against Independent Health (IH) and Related Entities for Defrauding Medicare Advantage Program

NEW YORK, Sept. 16, 2021 /PRNewswire/ — The United States Department of Justice (DOJ) has filed its complaint in intervention in a Constantine Cannon whistleblower’s lawsuit against Independent Health Association (IH), coding consultant subsidiary DxID LLC (DxID) and Betsy Gaffney, former CEO of DxID. The complaint accuses them of violating the False Claims Act (FCA) by knowingly submitting false diagnoses for risk-adjusted payments, resulting in overpayments of tens of millions of dollars from the Medicare Advantage program.

The DOJ complaint alleges numerous examples of blatant fraudulent activity conducted by Independent Health and its subsidiaries—including going back into files long after physician visits to add diagnosis codes to patient medical records that weren’t based on a physician’s assessment, but rather on laboratory tests, durable medical equipment claims, or diagnostic testing.

Source: Constantine Cannon: U.S. Intervenes in Whistleblower Lawsuit Against Independent Health (IH) and Related Entities for Defrauding Medicare Advantage Program / PR Newswire

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