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Federal Contractor Misconduct Database (FCMD)
The federal government routinely awards contracts to companies with
histories of misconduct, including
…
contract fraud and other
violations. POGO believes that providing this website will help to
improve contracting decisions and increase public knowledge of how
the government spends billions of taxpayer dollars each year.
Read more…
Baez v. Thompson, et al. (Medicare Overbilling)
Dr. Mario Baez alleges that Humana helped perpetuate a years-long billing fraud scheme at several Florida medical clinics. The lawsuit concerns a billing formula called a risk score. Baez alleges that Humana knew the clinics were engaging a practice called “upcoding,” in which risk scores are falsely inflated in order to increase billing rates. He alleges that Humana encouraged overbilling by providing doctors with forms that highlighted patient diagnostic codes that would pay a higher rate.
- Misconduct Type
- Government Contract Fraud
- Enforcement Agency
- Non-Governmental
- Contracting Party
- Health and Human Services
- Court Type
- Civil
- Disposition
- Pending
- Date of Complaint
- 10/11/2012
| Contractors Involved |
Penalty |
| Total |
|
| Humana |
$0
|
| Further Information |
Released |
| Complaint |
10/11/2012 |
