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News/Compliance & Enforcement/Risk Adjustment Director Charged for Multimillion-Dollar Medicare Advantage Fraud Scheme
False Claims Act·Compliance & Enforcement Brief

Risk Adjustment Director Charged for Multimillion-Dollar Medicare Advantage Fraud Scheme

PA
PubK AdminOctober 30, 2023 · 1 min read
🔒 Members Only

Department of Justice – Kenia Valle Boza, formerly the Director of Medicare Risk Adjustment Analytics at HealthSun Health Plans Inc., allegedly orchestrated a fraudulent scheme to increase the payments the company received for Medicare Advantage enrollees.

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