{"id":16598,"date":"2020-08-07T11:29:23","date_gmt":"2020-08-07T15:29:23","guid":{"rendered":"https:\/\/medicarereport.org\/?p=16598"},"modified":"2020-08-07T11:29:23","modified_gmt":"2020-08-07T15:29:23","slug":"department-of-justice-files-lawsuit-against-cigna","status":"publish","type":"post","link":"https:\/\/medicarereport.org\/?p=16598","title":{"rendered":"Department of Justice files lawsuit against Cigna"},"content":{"rendered":"<p>The Department of Justice has filed a lawsuit against the health insurer Cigna for allegedly submitting $1.4 billion in false Medicare Advantage claims.\u00a0 The DOJ claims that between 2012 and 2017, Cigna used improper diagnostic codes for health conditions that its members did not have, were not recorded in their medical records and were not based on clinically reliable information.\u00a0 According to the DOJ, Cigna intentionally misrepresented these health conditions as part of a scheme to coax CMS into paying a higher capitated rate on behalf of Medicare beneficiaries enrolled in their Medicare Advantage plans. Read article <a href=\"https:\/\/www.healthcarefinancenews.com\/news\/doj-brings-lawsuit-against-cigna-allegedly-submitting-14-billion-false-medicare-advantage\">here\u2026<\/a><\/p>\n<p><a href=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2017\/12\/department-of-justice-seal.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9098\" src=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2017\/12\/department-of-justice-seal.jpg\" alt=\"\" width=\"225\" height=\"225\" srcset=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2017\/12\/department-of-justice-seal.jpg 225w, https:\/\/medicarereport.org\/wp-content\/uploads\/2017\/12\/department-of-justice-seal-150x150.jpg 150w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/a><\/p>\n<pre><strong>Notice:<\/strong> The link provided above connects readers to the full content of the posted article. The URL (internet address) for this link is valid on the posted date; medicarereport.org cannot guarantee the duration of the link\u2019s validity. Also, the opinions expressed in these postings are the viewpoints of the original source and are not explicitly endorsed by AMAC, Inc.; the AMAC Foundation, Inc.; or medicarereport.org<\/pre>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Department of Justice has filed a lawsuit against the health insurer Cigna for allegedly submitting $1.4 billion in false<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-16598","post","type-post","status-publish","format-standard","hentry","category-medicare-fraud"],"_links":{"self":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/16598","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=16598"}],"version-history":[{"count":1,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/16598\/revisions"}],"predecessor-version":[{"id":16599,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/16598\/revisions\/16599"}],"wp:attachment":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=16598"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=16598"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=16598"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}