00:00A health provider I had negative dealings with as a patient and customer, Complete Health has agreed to pay a
00:08settlement of $14,100,000 to resolve allegations that they violated the False Claims Act by causing the submission of
00:19false diagnosis codes in order to increase payments that they received from the Medicare Advantage Program.
00:26This is courtesy of a press release by the U.S. Department of Justice dated August 3, 2026.
00:34Complete Health is a primary care provider in three states, including Alabama.
00:40The allegations are that they were taking advantage of senior or elderly patients to increase their reimbursement in the privatized
00:52program in a period between 2020 and 2023.
00:56Allegedly, Complete Health relied on upcoding for opioid use disorder, sedative dependence, and major depressive disorder, according to a whistleblower
01:09lawsuit filed by Karen Bowers, actually out of Birmingham.
01:14She was a risk adjustment professional formerly employed by Viva Health and Blue Cross and Blue Shield of Alabama.
01:21I experienced some of the worst service-based issues ever when dealing with a health care provider in my Complete
01:30Health visits.
01:31In 2019 and 2020, this was at the trustful facility of Northside Medical Associates, which merged with Complete in 2020.
01:43I have hours of video on those dealings.
01:47I have big questions remain regarding former Complete Health employees such as Dr. Ronald Helms of Pell City.
01:57He sold his four office locations with around 150 to 200 employees, 12 MD, 16 nurse practitioners on the payroll.
02:09I developed this practice over 25 years and walked away from all of this for a completely unknown reason in
02:202025, just a year prior to this False Claims Act settlement with the U.S. federal government.
02:27My own assessment of Complete Health, toxically corrupt.
02:32Plenty of employee reviews and statements out there to back this up, just do a little bit of searching.
02:40My issues with Northside Medical and Complete Health still unresolved as of August 2026.
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