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2 Oct 2023, 4:50 pm by Ben Vernia
On September 29, the Department of Justice announced that the Cigna health insurance company has agreed to pay more than $172 million to settle allegations (some of which were brought by a whistleblower) that the company submitted false diagnosis codes for Medicare Advantage patients, in order to increase the company’s payments from the program. [read post]
15 Feb 2016, 11:39 am by Lynn Sessions and Suchismita Pahi
., d/b/a United Medical (Lincare), for $239,800 in an appeal of OCR’s Health Insurance Portability and Accountability Act (HIPAA) CMPs. [read post]
17 May 2017, 6:59 am by Ben Vernia
Both suits allege that the company obtained inflated “risk adjustment” scores for beneficiaries insured under the Medicare Advantage (Part C) program. [read post]
17 May 2017, 6:59 am by Ben Vernia
Both suits allege that the company obtained inflated “risk adjustment” scores for beneficiaries insured under the Medicare Advantage (Part C) program. [read post]
2 Jan 2008, 12:33 pm
  The most common and cost-effective way for companies to do so is for employers to coordinate employer-provided benefits with benefits provided by Medicare. [read post]
19 Feb 2012, 11:32 am by Ray Mullman
Privately owned since its founding in 1983 as a real estate investment banker specializing in commercial real estate properties, Cambridge today has three distinctive business units: FHA-insured HUD loans, conventional financing, and investments and acquisitions. [read post]
9 Jul 2011, 5:49 pm by Robert Elliott, J.D.
Following an investigation into alleged altered medical documents, troopers assigned to the Louisiana State Police Insurance Fraud Unit arrested Hollis Kagler, 43, and charged her with one count of Insurance Fraud. [read post]
14 Mar 2012, 9:19 am
Debates about the ever-increasing costs of healthcare range from the influence of medical malpractice lawsuits, to the performance of "defensive" medical procedures by doctors, to the bilking of the American public by insurance companies and drug manufacturers. [read post]
19 Jun 2012, 3:36 pm
Insurance Companies & Healthcare Laws For example, Truth Out reported on new revelations regarding the health insurance’s secret funneling of over a hundred million dollars into various campaigns to prevent healthcare reform laws. [read post]
19 Jun 2012, 3:36 pm
Insurance Companies & Healthcare Laws For example, Truth Out reported on new revelations regarding the health insurance’s secret funneling of over a hundred million dollars into various campaigns to prevent healthcare reform laws. [read post]
19 Jun 2012, 3:36 pm
Insurance Companies & Healthcare Laws For example, Truth Out reported on new revelations regarding the health insurance’s secret funneling of over a hundred million dollars into various campaigns to prevent healthcare reform laws. [read post]
19 Jun 2012, 3:36 pm
Insurance Companies & Healthcare Laws For example, Truth Out reported on new revelations regarding the health insurance’s secret funneling of over a hundred million dollars into various campaigns to prevent healthcare reform laws. [read post]
28 Sep 2013, 5:15 am by Jon Gelman
Medical cost containment is a universal problem for insurance companies and employers. [read post]
22 Jul 2018, 3:13 pm by Green and Associates
A recent case shows how these cases can proceed.On July 18, 2018, it was announced that medical device manufacturer AngioDynamics, Inc. agreed to pay the United States a total of $12.5 million to resolve allegations that the company caused healthcare providers to submit false claims to Medicare, Medicaid, and other federal healthcare programs relating to the use of two medical devices, LC Bead and the Perforator Vein Ablation Kit (PVAK). [read post]
22 Oct 2014, 9:56 am by Ben Vernia
On October 22, the Department of Justice announced that dialysis giant DaVita Healthcare Partners will pay $350 million to settle allegations, originally brought by a qui tam whistleblower, that the company kickbacks for referral of dialysis patients. [read post]