PORTLAND,Winning Exchange 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.
2025-05-05 18:191860 view
2025-05-05 18:032297 view
2025-05-05 17:47330 view
2025-05-05 17:28210 view
2025-05-05 16:59159 view
2025-05-05 16:271361 view
AQABA, Jordan (AP) — Top U.S. officials were in the Middle Easton Thursday, pushing for stability in
HONG KONG (AP) — Asian stocks fell on Monday, following a record-setting day for U.S. stocks, as Chi
Taylor Swift has her own bye week from the Eras Tour and the superstar is spending her Sunday at her