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- Chief Compliance Officer and VP of Legal Affairs, Arrow Electronics
By Jeff Dale2023-10-02T17:20:00
Multinational health insurance company Cigna agreed to pay more than $172 million as part of a settlement with the Department of Justice (DOJ) addressing allegations it submitted and failed to withdraw false claims to Medicare.
Cigna submitted inaccurate or untruthful diagnosis codes related to various risk factors like obesity, the DOJ announced in a press release Saturday. The company reported diagnosis codes based on forms completed by vendors retained and paid by Cigna to conduct in-home assessments, the agency said. In some cases, in-home healthcare providers could not reliably diagnose patients and were prohibited from providing treatment by Cigna for medical conditions they purportedly found, the DOJ alleged.
The settlement resolved a lawsuit brought under the qui tam provisions of the False Claims Act by Robert Cutler, a former part-owner of a vendor retained by Cigna to conduct home visits. He will receive more than $8.1 million.
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2024-02-16T19:55:00Z By Adrianne Appel
Lincare, a supplier of durable medical equipment, agreed to pay $25.5 million to settle allegations it billed federal health programs for the rental of ventilator machines after patients no longer needed to use them.
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New guidance from the Department of Health and Human Services is designed to apply generally to the healthcare industry, from doctors to pharmaceutical manufacturers, and help all such entities self-monitor their compliance and prevent waste, fraud, and abuse.
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A home health company operating in Indiana, Ohio, and Texas agreed to pay nearly $4.5 million to settle allegations it filed false claims by giving sports tickets and other kickbacks to assisted living facilities in exchange for referrals.
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Crypto-friendly Silvergate Bank will pay a total of $63 million penalties to California and the Federal Reserve Board to settle charges that its anti-money laundering program failed to properly monitor more than $1 trillion worth of customer transactions.
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