Medicare Advantage Provider Monogram Health Agrees to Pay $2.4 Million to Settle False Claims Act Lawsuit

Tennessee-based Monogram Health has agreed to a $2.4 million settlement with the Department of Justice over allegations that it submitted fraudulent diagnosis codes to inflate reimbursements from the Medicare Advantage program. The settlement resolves claims brought under the False Claims Act. While not directly involving physical therapy, this case highlights ongoing federal enforcement scrutiny of coding practices within Medicare Advantage plans that affect all participating providers.

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