Kaiser Permanent just paid $550+ million to settle fraudulent billing accusations. Three qui tam whistleblowers are splitting $95 million. This claim involved aggressive "upcoding," the practicing of billing for a procedure that is more expensive than the specific procedure performed. Upcoding is common and involves judgments about the proper procedure code a doctor should use when there are similar codes for a treatment, and the reimbursement rate differs. The fraud that is taking place in gender medicine involves brazen lying about the diagnosis the patient has, the sex of the patient, and completely fictional treatments - such as treating a breast removal on a teen girl as a gynocomastia removal on a boy, or justifying a puberty blocker implant as a treatment for non-existant precocious puberty or "tall stature". These are slam dunk cases, just waiting to be brought.
