Judge Rules On Dismissal Motions In FCA Suit Alleging Fraudulent ACA Upcoding

( June 20, 2023, 12:43 PM EDT) -- SAN FRANCISCO — A federal judge in California denied an insurer’s motion to dismiss the federal government’s operative first amended complaint in intervention alleging federal False Claims Act (FCA) violations related to claims under the Patient Protection and Affordable Care Act (ACA) by upcoding, causing the government to overpay, finding that the government “sufficiently pled a factual falsity theory.”...