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Incoming triggers a probe in Unitedhealth’s Medicare Billing Practice: Report


Ministry of Justice He allegedly launched an investigation into a civic fraud into Medicare Unitedhealth Group, because the company – and insurance industry as a whole – faced with increased supervision.

The impression studies how Unitedhealth Group Records diagnoses that made additional payments in their plans for Medicare’s advantages, sources were introduced to the Wall Street Journal.

At the end of last year, the magazine analysis showed that the billions of Medicare records discovered a significant increase in the lucrative diagnoses for patients seen by Unitedhealth employee doctors after enrolling in Medicare Advantage.

Unitedhealth said in a statement that the Government regularly inspects all plans for Medicare Advantage to ensure that they are in accordance with and that the company performs “at the highest levels of the industry at these reviews.”

“Every suggestion that our practices are false is amazing and false,” Unitedhealth said.

Through Medicare, the Federal Government Insurance Program, people who are over 65 can apply for Medicare part A and Part B, which provide hospital and medical insurance. They can also opt for Medicare part C, also known as the Medicare advertisement (Michael A sudden / Bloomberg via Getty Images / Getty Images)

Via Medicare, federal Government Insurance Program, People who are 65 and older can apply for Medicare, part A and part B, which provide hospital and health insurance. They can also decide on Medicare part C, also known as a plan of the advantage of Medicare. It is a plan approved by Medicare from a private company that offers an alternative to the original Medicare and includes Part A, part B and usually part D, which helps cover prescription drug costs.

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The lawyers of the Ministry of Justice interviewed medical providers listed in previous reports in the journal revealing that Medicare allegedly paid $ 1 billion Unitedhealth for questionable diagnosis. These interviews took place on January 31, according to the magazine.

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But the investigation adds a long list of troubles for the company, which faced the attack of public surveillance over his care renunciations, even before the Unitedhealth CEO Brian Thomposon was killed in December in front of the New York hotel in what the police called a a “A destined, targeted attack.”

General view outside the Unitedhealthcare Corporate headquarters 4 December 2024 in Minnesota, Minnesota. (Stephen Maturen / Getty Images / Getty Images)

Last fall, a Senate Podododbor The accused Unitedhealthcare Group by denies claims for an increasing number of patients while trying to use artificial intelligence for the automation of the process. The report argued that the Unitedhealthcare rejection of the previous approval of the prior approval after acute care jumped from 10.9% in 2020 to 22.7% in 2022. United rejected these claims, saying that the report was “wrong to outline the Medicare Advantage program and our clinical practice.”

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It came at the same time when the Lawyer and Lawyers of Maryland, Illinois, New York filed a lawsuit for civil antitrust to block the Unitedhealth Group, proposed in the amount of $ 3.3 billion in the health and hospice service provider Amedisys Inc. The agreement would threaten the care for vulnerable patients and harm the nurses for health and hospice.

Dice Security Last Change Change %
UNH Unitedhealth Group Inc. 465.75 -36.72

-7.31%

The Ministry of Justice refused to comment.

Fox Business addressed the Office of the General Inspector of the Health and Human Services Department, which is also involved in the investigation, for commentary.



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