A large health provider group in Florida has agreed to pay $541 million to resolve allegations it inflated patient diagnosis codes in order to boost its reimbursement through a Medicare program.
The Villages Health System (TVH) intentionally made patients appear sicker on bills it filed from 2020 through 2024 to three private insurers that contracted with Medicare, through the Medicare Advantage program, the DOJ alleged in the settlement agreement, approved Tuesday by U.S. Bankruptcy Court for the Middle District of Florida.
