UNITED STATES REACHES $37 MILLION

NY 2023 Clinical Laboratories

DOJ Fraud

Penalty

$37 million

Outcome

UNITED STATES REACHES $37 MILLION SETTLEMENT OF FRAUD LAWSUIT AGAINST CIGNA FOR SUBMITTING FALSE AND INVALID DIAGNOSIS CODES TO ARTIFICIALLY INFLATE ITS MEDICARE ADVANTAGE PAYMENTS

Details

UNITED STATES REACHES $37 MILLION — DOJ Enforcement (2023)

Outcome: UNITED STATES REACHES $37 MILLION SETTLEMENT OF FRAUD LAWSUIT AGAINST CIGNA FOR SUBMITTING FALSE AND INVALID DIAGNOSIS CODES TO ARTIFICIALLY INFLATE ITS MEDICARE ADVANTAGE PAYMENTS

How Crucible Prevents This

Crucible's compliance monitoring for Clinical Laboratories would have detected the patterns underlying this enforcement action.

Source: DOJ Press Release — UNITED STATES REACHES $37 MILLION SETTLEMENT OF FRAUD LAWSUIT AGAINST CIGNA FOR SUBMITTING FALSE AND INVALID DIAGNOSIS CODES TO ARTIFICIALLY INFLATE I

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