{"id":21965,"date":"2023-10-24T07:56:43","date_gmt":"2023-10-24T11:56:43","guid":{"rendered":"https:\/\/medicarereport.org\/?p=21965"},"modified":"2023-10-24T07:56:44","modified_gmt":"2023-10-24T11:56:44","slug":"4-recent-medicare-advantage-overpayment-cases","status":"publish","type":"post","link":"https:\/\/medicarereport.org\/?p=21965","title":{"rendered":"4 recent Medicare Advantage overpayment cases"},"content":{"rendered":"\n<p>(By Rylee Wilson for <em>Becker&#8217;s Hospital Review<\/em>)<\/p>\n\n\n\n<p>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.<\/p>\n\n\n\n<p>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 <a href=\"https:\/\/www.beckerspayer.com\/payer\/4-recent-medicare-advantage-overpayment-cases.html\" data-type=\"link\" data-id=\"https:\/\/www.beckerspayer.com\/payer\/4-recent-medicare-advantage-overpayment-cases.html\">here&#8230;<\/a><\/p>\n\n\n\n<p><img loading=\"lazy\" decoding=\"async\" width=\"225\" height=\"56\" class=\"wp-image-9962\" style=\"width: 225px;\" src=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/03\/DHS-Office-of-Inspector-General.jpg\" alt=\"\" srcset=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/03\/DHS-Office-of-Inspector-General.jpg 623w, https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/03\/DHS-Office-of-Inspector-General-300x74.jpg 300w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/p>\n\n\n\n<p class=\"has-small-font-size\"><strong>Notice:<\/strong>&nbsp;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<\/p>\n","protected":false},"excerpt":{"rendered":"<p>(By Rylee Wilson for Becker&#8217;s Hospital Review) The Cigna Group will pay over $170 million to settle allegations of Medicare<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[32,36,21,9],"tags":[80,328,385,62,559],"class_list":["post-21965","post","type-post","status-publish","format-standard","hentry","category-cms","category-dhs-oig","category-health-care-finance","category-medicare-advantage","tag-cms","tag-dhs-oig","tag-healthcare-costs","tag-medicare-advantage","tag-medicare-advantage-overpayments"],"_links":{"self":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/21965","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=21965"}],"version-history":[{"count":1,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/21965\/revisions"}],"predecessor-version":[{"id":21966,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/21965\/revisions\/21966"}],"wp:attachment":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=21965"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=21965"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=21965"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}