- Docket No.
- 1:20-cv-02593
- District Court
- New York Southern
Goal
- Award damages
Issues
Litigation Content
Why This Matters:
Why This Matters:
The Department of Justice alleges that a Medicare Advantage organization violated the False Claims Act by submitting inaccurate, incomplete, unsupported, or otherwise false diagnosis codes for Medicare Advantage enrollees. The Department of Justice alleges that the defendant 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 compensation for Medicare Advantage organizations prevents fraud, protects taxpayer dollars, and keeps health care costs low for patients.
29 Major Filings
- DEFENDANT'S NOTICE (Mar 31, 2026)
- DEFENDANT'S MOTION TO SEAL (Mar 31, 2026)
- SCHEDULING ORDER (Mar 18, 2026)
- DISCOVERY RELATED ORDER (Feb 18, 2026)
- PLAINTIFF'S RESPONSE TO DISCOVERY RELATED ORDER (Feb 6, 2026)
- DEFENDANT'S RESPONSE TO DISCOVERY RELATED ORDER (Jan 30, 2026)
- DISCOVERY RELATED ORDER (Oct 15, 2025)
- DISCOVERY RELATED ORDER (Aug 22, 2025)
- DISCOVERY RELATED ORDER (Mar 13, 2024)
- DISCOVERY RELATED ORDER (Oct 4, 2023)
- ORDER ON JOINT STIPULATION OF DISMISSAL OF COUNTERCLAIMS (Feb 1, 2023)
- JOINT STIPULATION OF DISMISSAL OF COUNTERCLAIMS (Dec 22, 2022)
- ANSWER (Nov 16, 2022)
- OPINION AND ORDER (Sep 30, 2022)
- DEFENDANT'S REPLY RE: NOTICE OF SUPPLEMENTAL AUTHORITY (Jul 20, 2022)
- PLAINTIFF'S RESPONSE TO NOTICE OF SUPPLEMENTAL AUTHORITY (Jul 19, 2022)
- DEFENDANT'S NOTICE OF SUPPLEMENTAL AUTHORITY (Sep 30, 2021)
- DEFENDANT'S RESPONSE TO NOTICE OF SUPPLEMENTAL AUTHORITY (Dec 8, 2020)
- PLAINTIFF'S NOTICE OF SUPPLEMENTAL AUTHORITY (Dec 7, 2020)
- DEFENDANT'S REPLY RE: MOTIONS TO TRANSFER, DISMISS, AND STRIKE (Nov 20, 2020)
- PLAINTIFF'S RESPONSE TO MOTIONS TO TRANSFER, DISMISS, AND STRIKE (Nov 6, 2020)
- DEFENDANT'S MOTIONS TO TRANSFER, DISMISS, AND STRIKE (Sep 17, 2020)
- SCHEDULING ORDER (Aug 6, 2020)
- PLAINTIFF'S RESPONSE TO REQUEST FOR PRE-MOTION CONFERENCE (Jul 10, 2020)
- DEFENDANT'S REQUEST FOR PRE-MOTION CONFERENCE (Jul 9, 2020)
- AMENDED COMPLAINT (Jul 2, 2020)
- PLAINTIFF'S RESPONSE TO REQUEST FOR PRE-MOTION CONFERENCE (Apr 20, 2020)
- DEFENDANT'S REQUEST FOR PRE-MOTION CONFERENCE (Apr 14, 2020)
- COMPLAINT (Mar 26, 2020)