Johnathan Walker-Health care provider to pay largest Medicare fraud settlement in Maine history

2025-04-29 21:28:49source:Benjamin Ashfordcategory:Contact

PORTLAND,Johnathan Walker 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.

More:Contact

Recommend

'Vanderpump Rules' star DJ James Kennedy arrested on domestic violence charges

"Vanderpump Rules" star James Kennedy has been arrested for domestic violence.In a statement to USA

Adam Sandler to Receive the People's Icon Award at 2024 People's Choice Awards

This PCAs Icon Award recipient is no longer a mystery.Adam Sandler will be honored with the People's

Elmo takes a turn as a therapist after asking 'How is everybody doing?'

At first glance it might have looked like a run-of-the-mill social media check-in: "How is everybody