Providers should be aware of CMS’s recent aggressively restrictive stance on Medicare Advantage (“MA”) risk adjustment coding. In  U.S. ex rel. Teresa Ross v. Independent Health Association, et al. – a False Claims Act (“FCA”) case... Read More
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The closely-watched Kaiser Permanente consolidated False Claims Act (“FCA”) action, involving allegations of substantial Medicare Advantage risk adjustment fraud, has highlighted the dangers of a particular coding practice/policy known as... Read More
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