Federal watchdog accuses Humana, UnitedHealthcare Medicare Advantage plans of upcoding

HHS OIG: HumanaChoice, UnitedHealthcare Overbilled Medicare by $180 Million

HumanaChoice alone owes the government a $131 million refund.

Minnesota-based UnitedHealthcare overbilled Medicaid by $47 million: HHS

A federal audit has found that UnitedHealthcare, the country’s largest health insurance company by revenue, likely inflated its Medicare billing claims by at least $46.9 million between 2020 and 2021. The Medicare compliance review, conducted by the U.S. Department of Health and Human Services’s inspector general’s office, concluded that UnitedHealthcare upcoded various diagnoses during the […]

Federal watchdog accuses Humana, UnitedHealthcare Medicare Advantage plans of upcoding

Newly released HHS OIG audits of HumanaChoice and UnitedHealthcare of Wisconsin found both plans frequently exaggerated the health needs of their members, generating almost $180 million in overpayments over two years.