Kaiser Says First-To-File Bar Breaks $1B Medicare Fraud Suits

By Ryan Harroff (January 19, 2022, 5:33 PM EST) -- Kaiser Permanente asked a California federal judge Tuesday to throw out at least three of the six qui tam suits alleging that it used fake diagnoses to defraud Medicare Advantage of $1 billion in treatment reimbursements, arguing it can only be made to face one qui tam action for each alleged fraud.

Three of the complaints accusing Kaiser and its associated entities of an "upcoding" scheme in which they say it encouraged the over 23,000 doctors in its system to exaggerate or invent reimbursable diagnoses for their patients are materially the same as the first action filed by whistleblower and medical...

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