Health Diagnostic Laboratory Inc. has filed a counter lawsuit against Cigna, claiming the insurer owes the lab $66 million for legitimate blood-testing services.
After the Department of Justice (DOJ) requested information from Humana last month regarding risk adjustments assigned to Medicare Advantage beneficiaries, the insurer said this week that it believes this investigation is part of a more extensive review that involves other healthcare companies, reported Reuters.
Healthcare billing cost the U.S. economy about $471 billion in 2012, according to a recent study. Switching to a simplified financing system could save the country $375 billion annually.
Cigna has sued a Virginia-based clinical laboratory for illegally waiving consumers' fees and billing the insurer instead. Cigna claims that the "fee forgiving" practice cost it $84 million.
Major health systems, including Minnesota's Mayo Clinic and Geisinger Health System in Pennsylvania, are meeting with patients to create easier-to-read bills, thereby improving collections and satisfaction.
The Office of Inspector General will be closely examining hospitals' billing practices, according to its 2013 work plan, released yesterday.
While the Centers for Medicare & Medicaid Services continues to investigate whether the University of Minnesota Medical Center, Fairview violated federal law with its harsh billing and collection practices, the hospital's former debt-collector is facing 10 more patient claims in the lawsuit from the Minnesota Attorney General.
Billing for evaluation and management services are vulnerable to fraud and abuse, with Medicare payments for E/M services jumping 48 percent, from $22.7 billion to $33.5 billion in a decade, the
Medicare collected a total of $797.4 million in overpayments for fiscal year 2011, compared to returning $141.9 million in underpayments, according to a new report from the Centers for Medicare &
On behalf of seven elderly Medicare beneficiaries, the Center for Medicare Advocacy last week filed a lawsuit against U.S. Department of Health & Human Services (HHS) Secretary Kathleen Sebelius