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Employee Benefits

Feds accuse health plan of defrauding Medicare

September 15, 2021 Reprints

The U.S. Justice Department has filed a False Claims Act complaint against Buffalo, N.Y.-based Independent Health, its subsidiary DxID LLC and its former CEO, alleging they submitted inaccurate information on Medicare Advantage members' health to increase its reimbursements, reports Becker’s Hospital Review. According to the complaint, DxID scanned medical records and allegedly reported incorrect "risk scores" for patients, which netted Independent Health increased reimbursement.

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Feds accuse health plan of defrauding Medicare

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