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30 Apr 2022, 12:02 pm by Jeffrey P. Gale, P.A.
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 by Bright!Tax Writers
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 by Pasha Law PC
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 by Elise Reuter - Medcity News
A recently unsealed whistleblower case filed by the Department of Justice accuses Cigna of fraudulently overbilling for its Medicare Advantage plans. [read post]
  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 by Jeff Wurzburg (US)
  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 by Daily Record Staff
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 by Mary Cutler
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]
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 by Emily Burchfield, Guest Author
According to Cigna, New Method Wellness provided services to patients that were not medically necessary and submitted excessive reimbursement claims. [read post]
17 Aug 2019, 11:56 am by Robert Liles
  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 by Doug Cornelius
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 by Lyle Roberts
  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]
14 Aug 2018, 1:58 pm by Anthony Carbone, PC
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]