- Docket No.
- 3:16-cv-05337
- District Court
- California Northern
Goal
- Award damages
Issues
Litigation Content
Why This Matters:
Why This Matters:
The Department of Justice joined, in part, a whistleblower case against a group of Medicare Advantage organizations, alleging that these organizations submitted inaccurate, incomplete, unsupported, or otherwise false diagnosis codes for Medicare Advantage enrollees. The whistleblowers and Department of Justice alleged that the health system submitted this false information – also known as upcoding – to improperly obtain millions of dollars in overpayments from the Medicare program.
Potential Impact:
Potential Impact:
Ensuring accurate reimbursement for Medicare Advantage claims reduces fraud and helps guarantee that taxpayer funds are spent appropriately.
16 Major Filings
- APPELLATE MANDATE (Dec 6, 2024)
- APPELLATE OPINION (Nov 14, 2024)
- APPELLATE OPINION (Oct 11, 2024)
- APPELLATE OPINION (Sep 24, 2024)
- APPELLATE ORDER (Jun 26, 2024)
- APPELLATE ORDER (May 8, 2024)
- APPELLATE ORDER (Feb 16, 2024)
- APPELLATE OPINION (Jan 10, 2024)
- HEARING TRANSCRIPT (Nov 21, 2022)
- PLAINTIFFS' NOTICE OF APPEAL (Jun 3, 2022)
- HEARING TRANSCRIPT (Apr 21, 2022)
- HEARING TRANSCRIPT (Dec 18, 2021)
- INTERVENOR UNITED STATES' NOTICE OF PARTIAL INTERVENTION (Jul 27, 2021)
- ORDER ON MOTION TO CONSOLIDATE CASES (Jun 25, 2021)
- AMENDED COMPLAINT (Nov 3, 2016)
- COMPLAINT (May 16, 2016)