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Florida firm to pay $14.1M over Medicare fraud claims

Complete Health, a Florida-based firm, will pay $14.1 million to resolve allegations of submitting false diagnoses to inflate Medicare Advantage payments.

·1 min read·2 outlets

The short version

A Florida-based health firm agreed to pay $14.1 million to settle allegations it inflated patient diagnoses to overcharge Medicare Advantage. The Justice Department announced the settlement on August 3.

Complete Health, a Florida-based management services organization, agreed to pay $14.1 million to resolve allegations of Medicare fraud.2,1 The settlement stems from claims that the firm caused false diagnosis codes to be submitted to Medicare Advantage programs.1 The allegations involve violations of the False Claims Act, according to the Justice Department.1

The settlement was announced by the Justice Department on August 3, 2026.1 The firm is based in Jacksonville, Florida.1

Why it matters

  • The False Claims Act allows the U.S. government to recover damages from individuals or entities that defraud federal programs, including Medicare.1

  • Medicare Advantage is a private health insurance option for Medicare beneficiaries, where payments to insurers are based in part on patient diagnoses.1

This account was written from the 2 reports listed below, filed by 2 independent outlets, and checked against them line by line. It is not a copy of any one of them. Spotted an error? Tell us.

Corroborated2 outlets
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2 reports from 2 outlets. The numbers in the article point here.

Center1
Right-leaning1

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