PORTLAND,AQCAN Maine (AP) — Martin’s Point Health Care Inc. will pay nearly $22.5 million to resolve allegations of submitting inaccurate codes for Medicare Advantage Plan enrollees to increase Medicare reimbursements, federal prosecutors said Monday.
The U.S. attorney’s office in Maine confirmed it was the largest Medicare fraud settlement in state history. A Martin’s Point representative didn’t immediately return a phone call seeking comment on Monday. The company was accused of submitting the inaccurate diagnosis codes for Medicare Advantage Plan enrollees in Maine and New Hampshire between 2016 and 2019.
“Today’s result sends a clear message to the Medicare Advantage community that the United States will take appropriate action against those who knowingly submit inflated claims for reimbursement,” said Michael D. Granston, deputy assistant attorney general of the Justice Department’s civil division’s commercial litigation branch.
The allegations against the Portland-based healthcare provider stemmed from a complaint brought by a whistleblower who’s entitled to a claim of the settlement, approximately $3.8 million, officials said.
The Justice Department said Martin’s Point sought to identify additional codes that could be submitted for reimbursement even though many codes weren’t supported by patients’ medical records.
2025-05-07 15:44548 view
2025-05-07 15:40489 view
2025-05-07 15:012381 view
2025-05-07 15:002847 view
2025-05-07 13:252513 view
2025-05-07 13:111770 view
Stanley is recalling 2.6 million mugs sold in the U.S. after the company received dozens of consumer
McALLEN, Texas (AP) — A Texas jury on Friday found a driver guilty of intoxication manslaughter over
FKA Twigs' lawyers are accusing Shia LaBeouf's legal team of "improperly seeking" the British musici