Updated: Cigna to Pay $172 Million to Settle False Claims Act Allegations
"Medicare Advantage plans that submit false information to increase payments from CMS show blatant disregard for the integrity of these vital federal health care funds," Christian J. Schrank, deputy inspector general for investigations with the Office of Inspector General for the Department of Health and Human Services, said. "Such actions are an affront to the Medicare program and the millions of patients who rely on its services. Working with our law enforcement partners, our agency will continue to prioritize investigating alleged fraud that targets the Medicare Advantage program."
October 02, 2023 at 04:47 PM
3 minute read
NewsThe Cigna Group agreed to pay $172 million to resolve allegations that it submitted—and failed to withdraw—inaccurate and false diagnosis codes for its Medicare Advantage Plan enrollees so payments from Medicare would increase.
The Medicare Advantage Plan Program allows beneficiaries to opt for covered benefits through private insurance plans, and the Centers for Medicare and Medicaid Services pays the plans a fixed monthly income for each beneficiary.
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