DOJ Announces Major Medicare Advantage Fraud Settlement - Brought By a Whistleblower Of Course
Posted 03/31/25
By the Constantine Cannon Whistleblower Team
On March 26, California-based Seoul Medical Group Inc. and its subsidiary Advanced Medical Management agreed to pay $58,740,000 to settle Department of Justice (DOJ) and whistleblower charges they violated the False Claims Act by bilking the Medicare Advantage program out of millions of dollars through false diagnoses of their patients. Seoul Medical's former founder...
Independent Health to Pay $98M to Resolve Medicare Advantage Fraud Allegations
Posted 01/7/25
On December 29, 2024, the government announced that Buffalo, New York’s Independent Health Association and Independent Health Corporation (collectively known as Independent Health) have agreed to pay up to $98 million to settle allegations that they violated the False Claims Act by submitting, or causing the submission of, invalid diagnosis codes to Medicare for Medicare Advantage Plan enrollees. Constantine Cannon
