Insurer whacked with over half-a-billion settlement over fraud claims

The federal government says Kaiser developed mechanisms to trawl by way of historic data, generate “queries” to suppliers with urged diagnoses and urge them to include these into the chart months, and generally greater than a yr, after the encounters. In lots of situations, the diagnoses “had nothing to do with the affected person go to in query, in violation of CMS necessities,” in response to the Justice Division.