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News Articles: medicare fraud

Tagged as: 

  • Health

How Medicare Advantage plans dodged auditors and overcharged taxpayers by millions

A KHN investigation found when some Medicare Advantage plans got a rare federal audit, they couldn't produce billing records for care they said they'd provided. Some blamed fire, flood — or doctors.

December 12, 2022
|
By:
  • Fred Schulte and
  • Holly K. Hacker
A civil suit filed by the Justice Department this week links exaggerated patient bills to tens of millions of dollars in overcharges by Medicare Advantage plans. A data analytics team facilitated the fraud, the lawsuit alleges.

Tagged as: 

  • Health

The DOJ Says A Data Mining Company Fabricated Medical Diagnoses To Make Money

In a civil suit filed this week, the Justice Department accuses a New York medical analytics company of helping a Medicare Advantage plan cheat taxpayers out of millions of dollars.

September 15, 2021
|
By:
  • Fred Schulte
Medicare Advantage, a fast-growing private alternative to original Medicare, has <a href="https://www.ahip.org/7-things-you-need-to-know-about-medicare-advantage/">enrolled</a> more than 26 million people. Humana Inc. is one of the largest of these insurers. While popular with seniors, Medicare Advantage has been the target of multiple government investigations.

Tagged as: 

  • Health

Humana Inc. Overcharged Medicare Nearly $200 Million, Federal Audit Finds

If the report by the U.S. Department of Health and Human Services' Office of Inspector General is sustained, Humana Inc. could face a record penalty for overcharges in a Medicare Advantage plan.

April 20, 2021
|
By:
  • Fred Schulte

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