risk adjustment score

Courts Considering Concept of Inflated ‘Risk Adjustment Scores’ Under the False Claims Act

According to a report published by the Center for Public Integrity, as many as six separate whistleblower lawsuits have been filed since 2010 alleging inflated ‘risk adjustment scores’ submitted to the Center for Medicare and Medicaid Services (CMS).[1. Gutman, James, "Whistleblowers Allege MA Overcharges; S.C. Lawsuit Targets Blue Plan, Clients." May 21, 2015. This paradigm [...]

By | 2019-02-20T11:20:33+00:00 July 20th, 2015|Healthcare Fraud|