Medicare Advantage insurer to pay up to $98M to settle false claims allegations

(By Rylee Wilson for Becker’s Hospital Review)

Independent Health will pay up to $98 million to settle allegations a now-defunct subsidiary knowingly submitted invalid diagnoses to boost Medicare Advantage payments.

According to a Dec. 20 news release from the Justice Department, DxID, a subsidiary of Independent Health, retroactively searched medical records for additional diagnoses to boost MA enrollees’ risk scores. DxID, which shut down in 2021, offered its services to other health plans. Continue reading here…

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