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E-mail Xinhua, February 22, 2025
NEW YORK, Feb. 21 (Xinhua) -- The U.S. Department of Justice (DOJ) has launched an investigation into UnitedHealth Group's Medicare billing practices in recent months, reported The Wall Street Journal (WSJ) on Friday.
"The new civil fraud investigation is examining the company's practices for recording diagnoses that trigger extra payments to its Medicare Advantage plans, including at physician groups the insurance giant owns," noted the report.
Previous reports showed that Medicare paid UnitedHealth billions of dollars for questionable diagnoses. DOJ attorneys as recently as Jan. 31 interviewed medical providers named in the articles.
In the Medicare Advantage system, insurers get lump-sum payments from the federal government to oversee enrollees' Medicare benefits. When patients have certain diagnoses, the payments go up, creating an incentive to diagnose more diseases. Enditem
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