Business Law

Beware of Medicare Advantage Capitated Arrangements – False Claims Act Exposure Lurks in Diagnosis Coding

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After announcing in December that it would intervene in a qui tam action under the False Claims Act against Sutter Health and Palo Alto Medical Foundation, the US Department of Justice filed its complaint-in-intervention in the Northern District of California on March 4, 2019. Read more about the alleged False Claims Act violations relating to the submission of claims to the Medicare Advantage program here.

This piece was originally prepared for the Arent Fox LLP Health Care Counsel Blog by David Greenberg and edited by Sarah Benator, and was republished with permission. For more information about this e-bulletin, please contact Sarah Benator at or 213.443.7518.

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