AIDS Healthcare Foundation pays $1.44 million over Medicare Advantage coding
Issue
On October 6, 2026, the Justice Department said Los Angeles-based AIDS Healthcare Foundation will pay $1.44 million to settle False Claims Act allegations. Its Medicare Advantage plans were slow to delete unsupported diagnosis codes from 2017 to 2023.
Health centers in risk contracts can check that coders remove unsupported codes within 60 days.
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U.S. Department of Justice, Office of Public AffairsSources for your board packet
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- Enforcement: privacy, fraud and audits
False Claims Act, DOJ and federal audits
FQHC Talent. (2026, October 6). AIDS Healthcare Foundation pays $1.44 million over Medicare Advantage coding. Source: U.S. Department of Justice, Office of Public Affairs. Retrieved October 9, 2026, from https://www.fqhctalent.com/intel/doj-ahf-medicare-advantage-fca-settlement-oct-2026
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