Sutter Health pays

On April 12, 2019, the Department of Justice announced that California-based Sutter Health, LLC, had agreed to pay $30 million to resolve a whistleblower’s allegations that the company submitted unsupported diagnoses of Medicare Part C (“Medicare Advantage”) patients, inflating their risk scores, and, therefore, the amount paid by Medicare. According to DOJ’s press release: Sutter Health LLC, a California-based healthcare services provider, and several affiliated entities, Sutter East Bay Medical Foundation, Sutter Pacific Medical Foundation, Sutter Gould Medical Foundation, and Sutter Medical Foundation, have agreed to pay $30 million to resolve allegations that the affiliated entities submitted inaccurate information about the health status of beneficiaries enrolled in Medicare Advantage Plans, which resulted in the plans and providers being overpaid, the Justice Department announced today.  Sutter Health is headquartered in Sacramento,…

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