Beaver Medical Group L.P. (BMG) and a doctor who works for it, Dr. Sherif Khalil, have agreed to pay a little over the amount of $5 million to resolve accusations that they falsely reported diagnosis codes to plans of Medicare Advantage, thereby causing said plans to receive inflated payments. BMG is headquartered in Redlands, CA. “The United States relies on healthcare providers to submit accurate diagnosis data to Medicare Advantage plans to ensure those plans receive the appropriate compensation,” said Jody Hunt, Assistant Attorney General of the DOJ’s Civil Division. “We will pursue those who undermine the integrity of the Medicare program and the data it relies upon.”
Medicare Advantage Supplier and Doctor to Pay $5 Million to Settle False Claims Act Allegations
By George Grant|2020-04-13T18:07:33+00:00August 14th, 2019|Coding Compliance Risk|Comments Off on Medicare Advantage Supplier and Doctor to Pay $5 Million to Settle False Claims Act Allegations