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Corporate Integrity Agreement with Community Care Health Network LLC d/b/a Matrix Medical Network

Active  |  Effective on  |  Duration 5 years
Location
Nashville, TN
Estimated Completion
May 2031
Settlement Amount
$36,500,000

DOCUMENTS

AGREEMENT PRESS RELEASE

Matrix, HealthFair, and HealthFair Founder Agree to Pay $56.5M to Resolve False Claims Act Allegations

Published by the United States Department of Justice | View article on www.justice.gov

Published by the United States Department of Justice | View article on www.justice.gov

Community Care Health Network LLC, doing business as Matrix Medical Network (Matrix), DPN USA, doing business as HealthFair (HealthFair), and Shahriah “James” Ekbatani have agreed to pay a total of $56.5 million to resolve allegations that they violated the False Claims Act (FCA) by causing the submission of false or invalid diagnosis codes to the Medicare Advantage program. Matrix will pay $36.5 million to resolve claims in a qui tam action filed in the Southern District of New York. HealthFair, which was acquired by Matrix, will pay $5 million and Ekbatani will pay $15 million to resolve claims in a qui tam action filed in the Eastern District of Texas.

Report Type
Corporate Integrity Agreement
Category
Other
Tags
Quality of Care Medicare C Managed Care Elderly People With Disabilities Financial Stewardship