Martin's Point Health Care Settles $22 Million Medicare Fraud Claims

Martin's Point Health Care has agreed to pay over $22 million to settle allegations of Medicare fraud. The company was accused of abusing the Medicare Advantage program by assigning additional diagnoses to patients in order to receive higher reimbursements. A former manager at Martin's Point filed a whistleblower complaint in 2018, alleging violations of the False Claims Act. The settlement agreement states that the company knowingly submitted unsupported and invalid diagnostic codes, resulting in payments to which it was not entitled. Martin's Point denies liability but decided to settle to avoid the costs and uncertainty of litigation. The settlement does not release the company from the possibility of criminal charges.