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Supreme Court declines to hear UnitedHealthcare appeal of Medicare overpayment rule

The U.S. Supreme Court has declined to hear UnitedHealthcare's challenge to a federal rule stipulating insurers offering Medicare Advantage plans refund payments based on unsupported diagnoses in patients' medical records. The rule, which has been in place since 2014, requires that if an insurer learns a diagnosis submitted to CMS for payment lacks support in the beneficiary's

United statesDistrict of columbiaCornelia pillardSupreme courtUnited states courtUs supreme courtMedicare advantageJudge cornelia pillardFalse claimsOverpayment rule

DC Circuit Revives Medicare Advantage Overpayment Rule | Troutman Pepper

DC Circuit Revives Medicare Advantage Overpayment Rule | Troutman Pepper
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District courtCircuit courtDc district court vacates overpayment ruleDc circuit court revives overpayment ruleAdvantage overpayment ruleMedicare advantageAffordable care actFalse claimsOverpayment ruleHierarchical condition categoryRisk adjustment data validationCourt vacates overpayment ruleFalse claims actமாவட்டம் நீதிமன்றம்சுற்று நீதிமன்றம்

D C Circuit Ruling Escalates False Claims Act Risk for Medicare Advantage Organizations | Bradley Arant Boult Cummings LLP

D C Circuit Ruling Escalates False Claims Act Risk for Medicare Advantage Organizations | Bradley Arant Boult Cummings LLP
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New yorkUnited statesMichael granstonKaiser permanenteDc district courtBradley arant boult cummingsUs courtCircuit court rulingFalse claims actColumbia circuitMedicare advantageAffordable care actOverpayment ruleSouthern district

Healthcare Rule Requires Insurer to Refund Overpayment

Healthcare Rule Requires Insurer to Refund Overpayment
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New yorkUnited statesMichael granstonKaiser permanenteDc district courtUs courtCircuit court rulingFalse claims actColumbia circuitMedicare advantageAffordable care actOverpayment ruleSouthern district

Investigations Newsletter: New DC Circuit Ruling Impacts Medicare Advantage Plans and FCA Enforcement | Arent Fox

Investigations Newsletter: New DC Circuit Ruling Impacts Medicare Advantage Plans and FCA Enforcement | Arent Fox
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United statesCenters for medicare medicaid servicesUnitedhealthcare insurance coTala visionUs department of healthHuman servicesUs courtFinancial crimes enforcement networkRuling impacts medicare advantage plansMedicare advantageMedicare advantage overpaymentOverpayment ruleMedicaid servicesFalse claims actPatient protectionAffordable care act