UnitedHealthcare Will Continue to Face Medicare Fraud Suit (1)

A whistleblower can continue to allege that UnitedHealthcare of Georgia Inc. and others violated the False Claims Act by improperly billing Medicare Part C, a federal district court said.

Whistleblower Brook Gonite plausibly alleged FCA violations by alleging the time, place, and substance of alleged fraud, Judge Marc T. Treadwell of the US District Court for the Middle District of Georgia said in a Wednesday opinion partially denying the defendants’ motion to dismiss.

Medicare C is the Medicare Advantage Program, under which beneficiaries enroll in plans managed by a private insurance company operating as a Medicare Advantage Organization. Institutional Special ...