Optimus allegedly submitted claims to the state’s Medicaid program dual-eligible beneficiaries with the incorrect Medicare denial codes, according to an Aug. 9 Justice Department news release.
The Justice Department also alleged that Optimus improperly billed Medicaid for group therapy services for beneficiaries who were not eligible for reimbursement.
The improper conduct allegedly occurred between 2014 and 2020, according to the release.
