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Martins Point Health Care

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

Originally Published 2 years ago — by WGME

Featured image for Martin's Point Health Care Settles Medicare Fraud Allegations for $22 Million
Source: WGME

Martin's Point Health Care, a healthcare provider based in Maine, has agreed to pay over $22 million to settle allegations of Medicare fraud. The settlement comes after an investigation into the company's billing practices, which allegedly involved fraudulent claims submitted to Medicare.

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

Originally Published 2 years ago — by Press Herald

Featured image for Martin's Point Health Care Settles $22 Million Medicare Fraud Claims
Source: Press Herald

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.