An integrated healthcare consortium headquartered in Oakland, California, that are affiliates of Kaiser Permanente agreed to pay $556 million to resolve allegations that they violated the False Claims Act by submitting invalid diagnosis codes for their Medicare Advantage Plan enrollees.
The invalid diagnosis codes, which the U.S. Department of Justice says was to receive higher payments from the government, resulted in settlements from Kaiser Permanente affiliates: Kaiser Foundation Health Plan Inc.; Kaiser Foundation Health Plan of Colorado; The Permanente Medical Group Inc.; Southern California Permanente Medical Group; and Colorado Permanente Medical Group P.C.
Under the