Cigna Group Resolves Allegations of False Claim Act Violations

Cigna Group has agreed to pay $172,294,350 to resolve allegations that it violated the False Claims Act, the Justice Department said Saturday.

The company allegedly submitted and failed to withdraw inaccurate and untruthful diagnosis codes for its Medicare Advantage Plan enrollees so that it could increase its payments from Medicare, according to the department.

Cigna has entered into a five-year corporate integrity agreement with the US Department of Health and Human Services Office of Inspector General that requires annual risk assessments, an independent review organization to conduct multi-faceted audits focused on risk adjustment data, and Cigna’s top executives and ...