Medicare Advantage Coding Practices Draw $56.5 Million False Claims Act Settlement
Federal prosecutors announced that Matrix Medical Network, HealthFair, and HealthFair founder Shahriah “James” Ekbatani have agreed to pay a combined $56.5 million to resolve allegations that unsupported and invalid diagnoses were used to increase payments from the Medicare Advantage program. Matrix will pay $36.5 million, while HealthFair and Ekbatani agreed to pay $5 million and $15 million respectively.
