Humana Stuck With FCA Suit Over Medicare Advantage Billing

Law360, New York (April 2, 2015, 6:05 PM EDT) -- A Florida magistrate judge on Wednesday recommended that a False Claims Act whistleblower be allowed to proceed with allegations that Humana Inc. defrauded Medicare Advantage by exaggerating patient illnesses, despite lacking specific examples of bogus billing.

U.S. Magistrate Judge John J. O’Sullivan, who previously found that whistleblower Olivia Graves is not an insider entitled to a relaxed pleading standard, decided that she had floated enough allegations about Humana’s conduct to move ahead.

Although Graves did not identify specific instances in which Humana billed Medicare, she did...
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Case Information

Case Title

Graves vs Plaza Medical Centers, et al.


Case Number

1:10-cv-23382

Court

Florida Southern

Nature of Suit

Other Statutory Actions

Judge

Federico A. Moreno

Date Filed

September 17, 2010

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