Whistleblower Kathy Ormsby
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Today on Fraud in America, we’re covering a case involving a massive fraud on Medicare Advantage (also known as Medicare Part C).
In 2021, Sutter Health settled a whistleblower lawsuit for $90 million that alleged Sutter intentionally or recklessly submitted inaccurate medical diagnosis codes, inflating its reimbursements from Medicare Advantage.
The whistleblower on this case, Kathy Ormsby, joins us today to discuss her journey, the case, and how this type of fraud puts patient safety at risk.
In addition to Kathy, Kate Scanlan, her lawyer, joined as well. Kate is a Partner at Keller Grover.
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