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Enforcement Briefing · Sep 20, 2026

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Billing fraud & false claimsEnforcement BriefingContinuing

The Villages Health System agrees to a $541.5 million settlement over invalid Medicare Advantage diagnosis codes after self disclosing

A $541.5 million settlement addresses allegedly unsupported Medicare Advantage diagnoses and chart amendments at The Villages Health System. DOJ credited self-disclosure and cooperation. Bankruptcy approval and the plans’ separate repayment responses are part of the resolution; liability was not determined.

High priority · Sep 20, 2026 editionRead story →

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