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June 20, 2025   
Health Law Weekly

Medicare Advantage Organization Executive Acquitted of Medicare Fraud Charges

  • June 20, 2025

A federal jury acquitted Kenia Valle Boza, formerly the Director of Medicare Risk Adjustment Analytics at HealthSun Health Plans Inc., on allegations that she orchestrated a scheme to submit inaccurate diagnosis codes to the federal government that made patients appear sicker than they were to boost the organization’s Medicare reimbursement.

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