U.S. Probes UnitedHealth’s Medicare Billing Processes

The civil fraud investigation, conducted by the Department of Justice (DoJ), is examining the company’s practices for recording diagnoses that trigger extra payments to its Medicare Advantage plans, the newspaper set out, citing people familiar with the matter.

Reuters reports UnitedHealth said the report contained “misinformation” about its Medicare Advantage plans, pointing to regular reviews by the government to ensure compliance.

The healthcare giant was also unaware of the launch of any new activity by the regulator, it said in a statement.

The DoJ did not immediately respond to Reuters requests for comment.

Medicare Advantage plans are offered by private insurers who are paid a set rate by the U.S. government to manage healthcare for older adults looking for extra benefits not covered by regular Medicare.

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