Sunday , April 18 2021

Last month, in Government Employees Insurance Co. v. Cereceda, 2021 WL 148738 at *6-7 (S.D...

Federal Court’s Discovery Ruling Offers Lessons To Insurers Alleging Health Care Fraud Pursuant To Predetermined Protocol Theory – JD Supra

Last month, in Government Employees Insurance Co. v. Cereceda, 2021 WL 148738 at *6-7 (S.D. Fla. Jan. 15, 2021) (“Cereceda”), the Southern District of Florida issued a discovery ruling that insurers should consider carefully in connection with their fraud claims against health care providers which allege the providers committed fraud by billing for services rendered to patients pursuant to predetermined treatment protocols designed to take advantage of patients’ insurance benefits, rather than to render medically necessary treatment tailored to the …

 

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