4 recent Medicare Advantage overpayment cases

(By Rylee Wilson for Becker’s Hospital Review)

The Cigna Group will pay over $170 million to settle allegations of Medicare Advantage fraud, and government watchdogs are auditing other plans for potential overpayments.

Nearly every major insurer has been accused of or settled allegations of receiving Medicare Advantage overpayments through upcoding, or making patients appear sicker than they are on paper to receive higher reimbursements from the government. Continue reading here…

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