Justice Department Joins Lawsuit Alleging Kaiser Permanente Medicare Fraud

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The U.S. Justice Department has joined a bid of whistleblower lawsuits alleging that Kaiser Permanente engaged successful a years-long strategy to defraud the national authorities retired of Medicare payments. 

The suits allege that since 2009 the institution systematically pressured doctors to amend aesculapian records by adding "diagnoses that patients did not really have" successful bid to person higher Medicare reimbursements, according to national prosecutors. 

The archetypal suit, filed nether the False Claims Act successful 2013 by a Kaiser information specializer successful San Rafael, claims the institution besides utilized information mining to "retroactively alteration diligent aesculapian records."

"Today's enactment sends a wide connection that we volition clasp wellness attraction providers and plans accountable if they question to crippled the strategy by submitting mendacious information," said Deputy Assistant Attorney General Sarah Harrington. 

The suits question an unspecified magnitude of wealth successful damages positive lawyer fees and tribunal costs. 

Kaiser has denied each allegations of wrongdoing. 

"We are assured that Kaiser Permanente is compliant with Medicare Advantage programme requirements and we mean to powerfully support against the lawsuits alleging otherwise," according to a connection posted connected the company's website Thursday.


"Our policies and practices correspond well-reasoned and good-faith interpretations of sometimes vague and incomplete guidance from (Centers for Medicare & Medicaid Services)," the connection reads. 

A lawsuit absorption league is scheduled for Oct. 22 via Zoom.

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