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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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News and analysis for the well-informed compliance or audit exec. Select an option and click continue.
Annual Membership $499 Value offer
Full price one year membership with auto-renewal.
Membership $599
One-year only, no auto-renewal.
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.
2023-11-13T20:15:00Z By Adrianne Appel
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.
2023-11-07T22:00:00Z By Kyle Brasseur
GE Aerospace, an operating division of General Electric, agreed to pay more than $9.4 million as part of a settlement with the Department of Justice addressing allegations the company sold parts to the U.S. military without proper inspections or specifications.
2024-11-21T20:19:00Z By Oscar Gonzalez
Three months after a U.S. district judge declared Google to be running a monopoly, the Department of Justice recommended the tech giant be forced to sell off its popular Chrome browser as part of an effort to resolve antitrust concerns and reshape the power of tech’s biggest companies.
2024-11-20T18:15:00Z By Aaron Nicodemus
A bank examiner and senior manager at the Federal Reserve Bank of Richmond pled guilty to insider trading after allegedly misappropriating confidential information on seven banks to make profitable trades.
2024-11-19T21:05:00Z
New York-based investment firm Drexel Hamilton will pay more than $1.1 million in penalties, with four current and former employees paying fines as well over committing hundreds of violations of rules regarding the sale of municipal bonds.
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