Search for: "Cigna-Medicare"
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30 Apr 2022, 12:02 pm
Wiederhold, 248 So.3d 212 (Fla. 5th DCA 2018), Medicare and Cigna paid $863,056.55 on the decedent’s behalf. [read post]
2 Dec 2020, 1:41 am
It is unlikely that your domestic American health plan will cover you if you move abroad, and the same goes for Medicare. [read post]
19 Aug 2020, 12:00 pm
In a $1.4 billion lawsuit, a whistleblower accuses Cigna of falsely classifying diagnoses of its Medicare Advantage program members in order to receive billions of dollars in overpayments from CMS. [read post]
7 Aug 2020, 7:03 am
A recently unsealed whistleblower case filed by the Department of Justice accuses Cigna of fraudulently overbilling for its Medicare Advantage plans. [read post]
10 Apr 2020, 8:17 am
All facilities that received Medicare Fee For Service (“FFS”) reimbursements in 2019 are eligible, and payments will be distributed based on their share of total Medicare FFS reimbursements in 2019. [read post]
10 Apr 2020, 7:42 am
All facilities that received Medicare Fee For Service (“FFS”) reimbursements in 2019 are eligible, and payments will be distributed based on their share of total Medicare FFS reimbursements in 2019. [read post]
30 Mar 2020, 1:49 pm
The company will reimburse health care providers at Cigna’s in-network rates or Medicare rates, as applicable. [read post]
26 Mar 2020, 7:43 am
Cigna[11] Cigna is covering the cost of coronavirus testing and waiving all co-pays or cost-shares for fully insured plans, including employer-provided coverage, Medicare Advantage, Medicaid, and individual market plans available through the Affordable Care Act. [read post]
16 Dec 2019, 12:07 pm
The investigation was triggered, officials said, by health insurer Cigna, which first took notice of suspicious claims. [read post]
16 Dec 2019, 12:07 pm
The investigation was triggered, officials said, by health insurer Cigna, which first took notice of suspicious claims. [read post]
16 Oct 2019, 2:33 pm
PROVIDER SCREENING AND OTHER ENROLLMENT REQUIREMENTS UNDER MEDICARE, MEDICAID, AND CHIP. [read post]
12 Sep 2019, 6:52 am
Much easier to follow CMS guidelines as in "it's not my fault, this is how Medicare handles it. [read post]
3 Sep 2019, 2:15 pm
According to Cigna, New Method Wellness provided services to patients that were not medically necessary and submitted excessive reimbursement claims. [read post]
19 Aug 2019, 9:32 am
For example, CVS Health owns Aetna, which controls CVS Caremark; Cigna owns Express Scripts; and UnitedHealth Group owns Optum Rx. [read post]
17 Aug 2019, 11:56 am
He was also ordered to pay $956,448.00 in restitution.According to the Information filed against the defendant dentist, the defendant engaged in various acts of fraud against the Delta Dental, Cigna, TennCare and DentaQuest programs, including: (1) Billing for dental services that were not completed or performed at all; (2) Falsifying dates of service to appear to comply with benefit programs’ timeframe and preauthorization requirements; (3)&n [read post]
24 May 2019, 3:00 am
shareToken=stcd26267268cf44699be99d966e93fc32 Ethics Bots and Other Ways to Move Your Code of Business Conduct Beyond Pufferyby Michael BlandingWorking Knowledge When health insurer Cigna Corp. appeared in front of a judge for allegedly misleading shareholders on Medicare regulations this spring, plaintiffs thought they had a strong case. [read post]
25 Mar 2019, 4:47 pm
Following an audit by the Centers for Medicare and Medicaid Services (“CMS”), Cigna received a letter stating that it had “substantially failed to comply with CMS requirements regarding coverage determinations, appeals, benefits administration, compliance program effectiveness and similar matters. [read post]
12 Mar 2019, 3:22 pm
Cigna Corp., No. 17-3484-cv, 2019 U.S. [read post]
14 Aug 2018, 1:58 pm
Companies like Blue Cross/Blue Shield, Aetna, Cigna – and others – have a right of subrogation. [read post]
13 Apr 2018, 6:20 am
#CTScan #MedicalPriceGouging #Medicare #ProviderNetworksOriginal content copyright © InsureBlog [read post]