Search for: "Cigna-Medicare"
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22 Apr 2024, 12:55 pm
The largest recovery in a government-intervened case in FY 2023 was against The Cigna Group. [read post]
27 Mar 2024, 5:40 pm
Luckily, many insurers do—Cigna, Aetna, Blue Cross Blue Shield, United Healthcare, Medicaid, and Medicare all provide coverage. [read post]
2 Feb 2024, 2:17 pm
Despite Cigna and Humana ditching their pursuits to combine in December, one industry expert believes there's still a chance after Cigna announced its plan to sell its Medicare Advantage business to Health Care Service Corp. [read post]
30 Jan 2024, 10:27 am
And once again, Constantine Cannon made the Top Ten listing with its representation of the whistleblower in the Cigna matter, taking the Number 3 spot below. [read post]
11 Jan 2024, 3:02 pm
The allegations originated in a whistleblower lawsuit filed by Community Health’s former Chief Financial and Chief Operating Officer Thomas Fischer. 3 – Cigna Group ($172M). [read post]
5 Dec 2023, 12:33 pm
With Cigna mostly focused on the commercial market and Humana mostly focused on the Medicare Advantage market, the rumored combination talks check out, according to one industry expert. [read post]
8 Nov 2023, 1:00 am
”Think Cigna needs to do some self-examining there? [read post]
6 Oct 2023, 1:48 pm
The post Did Cigna Deserve Its $172M Penalty? [read post]
4 Oct 2023, 7:34 am
Cigna Settles Medicare Advantage Cases According to the United States, Cigna operated a “chart review” program during the period 2014 to 2019. [read post]
3 Oct 2023, 2:59 pm
Cigna operates Medicare Advantage Organizations that offer Medicare Advantage Plans to Medicare beneficiaries. [read post]
3 Oct 2023, 11:47 am
The United States has reached a settlement agreement with Cigna Group (Cigna), an insurance company that owns and operates Medicare… The post Cigna Whistleblower Awarded Over $8 Million for Exposing Medicare Part C Fraud Allegations appeared first on TZ Legal - Fraud Fighters. [read post]
3 Oct 2023, 6:42 am
” “For years, Cigna submitted to the Government false and invalid diagnosis information for its Medicare Advantage plan members. [read post]
2 Oct 2023, 4:50 pm
According to DOJ’s press release: The Cigna Group, headquartered in Connecticut, has agreed to pay $172,294,350 to resolve allegations that it violated the False Claims Act by submitting and failing to withdraw inaccurate and untruthful diagnosis codes for its Medicare Advantage Plan enrollees in order to increase its payments from Medicare.Under the Medicare Advantage (MA) Program, also known as Medicare Part C, Medicare beneficiaries have… [read post]
8 May 2023, 5:00 am
Some of the most popular MA health plans are administered by Humana, UnitedHealthcare, Aetna, BlueCross BlueShield, and Cigna. [read post]
30 Mar 2023, 7:30 pm
Cigna-HealthSpring Life & Health Insurance Company (“CIGNA”) earned poor marks for its administration of various Medicare Advantage contracts in compliance with Federal requirements in recent Department of Health & Human Services (“HHS”) Office of Inspector General (“OIG”) audits. [read post]
3 Mar 2023, 10:17 am
§1349. billing various healthcare benefit programs through claims administrators Humana, CIGNA and United Healthcare for $4.7 million for services never provided. [read post]
7 Feb 2023, 6:19 pm
These recoveries restore funds to federal programs such as Medicare, Medicaid, and TRICARE, the health care program for service members and their families. [read post]
1 Nov 2022, 3:11 pm
Department of Justice has announced that it has sued health insurance company Cigna Corporation (NYSE: CI), alleging that it violated the False Claims Act by knowingly submitting false and invalid diagnosis codes to artificially inflate the capitation payments it receives from Medicare in connection with its Medicare Advantage health insurance plans. [read post]
18 Oct 2022, 8:55 am
The United States Department of Justice intervened in a case against insurer Cigna and its Medicare Advantage… The post Government Intervenes in Whistleblower’s Case Against Cigna’s Medicare Advantage Organizations appeared first on TZ Legal - Fraud Fighters. [read post]
17 Oct 2022, 3:04 pm
The post US sues Cigna over false diagnoses, inflated Medicare payments appeared first on JURIST - News. [read post]