DOJ is increasing enforcement on Medicare Advantage upcoding as recent settlements reveal widespread issues with unsupported diagnoses and inflated payments.
Our in-brief roundup of notable healthcare and life sciences stories from the last two weeks.
Agreement resolves allegations that the system provider submitted unsupported diagnosis codes to Medicare Advantage plans.
Increased enforcement focus on: public trust and financial integrity, healthcare, internal revenue, global trade and commerce, and corporate misconduct.
The US DOJ memo outlines fraud enforcement priorities, spotlighting healthcare, tax, trade, and corporate misconduct.
Our in-brief roundup of notable healthcare and life sciences stories from the last two weeks.
Our in-brief roundup of notable healthcare and life sciences stories from the last two weeks.
A Big Three health insurer says it paid the fine to head off potential Medicare Advantage sanctions as it disputes the Centers for Medicare & Medicaid Services’ finding over alleged overpayments.
