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Federal Contractor Misconduct Database (FCMD)

The federal government routinely awards contracts to companies with histories of misconduct, including contract fraud and other violations. POGO believes that providing this website will help to improve contracting decisions and increase public knowledge of how the government spends billions of taxpayer dollars each year. Read more…

Baez v. Thompson, et al. (Medicare Overbilling)

Dr. Mario Baez alleges that Humana helped perpetuate a years-long billing fraud scheme at several Florida medical clinics. The lawsuit concerns a billing formula called a risk score. Baez alleges that Humana knew the clinics were engaging a practice called “upcoding,” in which risk scores are falsely inflated in order to increase billing rates. He alleges that Humana encouraged overbilling by providing doctors with forms that highlighted patient diagnostic codes that would pay a higher rate.

Misconduct Type
Government Contract Fraud
Enforcement Agency
Non-Governmental
Contracting Party
Health and Human Services
Court Type
Civil
Disposition
Pending
Date of Complaint
10/11/2012
Contractors Involved Penalty
Total
Humana $0
Further Information Released
Complaint 10/11/2012

Federal Contractor Misconduct Database