California health plan, providers to pay $70.7M to settle billing fraud claims

A California health plan and three providers have agreed to pay $70.7 million to settle claims they violated federal and state false claim act laws by submitting improper claims to the state’s Medicaid program. 

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Gold Coast Health Plan, Ventura County Medical Center, Dignity Health and Clinicas del Camino Real allegedly submitted false claims to Medi-Cal for additional, unauthorized or duplicative services provided to adult expansion Medi-Cal members between Jan. 1, 2014, and May 31, 2015, according to an Aug. 18 Justice Department news release. 

Gold Coast will pay $17.2 million to the federal government; Ventura County will pay $29 million to the U.S.; Dignity will pay $10.8 million to the U.S. and $1.2 million to California; and Clinicas will pay $11.25 million to the U.S. and $1.25 million to California.

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