DOJ brings lawsuit against Cigna for allegedly submitting $1.4 billion in false Medicare Advantage claims
The Office of Justice on Tuesday submitted a lawsuit towards overall health insurer Cigna alleging that the organization submitted fraudulent Medicare Benefit statements to the Facilities for Medicare and Medicaid Services.
The accommodate statements that concerning 2012 and 2017 Cigna made use of poor diagnostic codes for overall health disorders that its associates did not have, were not recorded in healthcare data and were not centered on clinically trustworthy info. Over the class of that time, CMS overpaid Cigna by additional than $1.4 billion, in accordance to the DOJ.
“[Cigna] intentionally misrepresented these overall health disorders as aspect of a popular plan to coax CMS into paying out a better capitated level on behalf of Medicare beneficiaries enrolled in [Cigna’s] Medicare Benefit programs,” the DOJ said in its claim.
Cigna developed its 360 Application in 2012, in which system associates would receive an “enhanced variation of an once-a-year wellness go