Pharmaceutical & Life Sciences News

Anthem Sued for Medicare Fraud by U.S. Attorney in New York (1)

March 27, 2020, 3:17 AM

Anthem Inc. overcharged the U.S. government by millions of dollars for services provided to Medicare patients, according to a fraud lawsuit filed by prosecutors.

The U.S. Attorney’s office in Manhattan alleges that the medical insurance giant jacked up its Medicare reimbursement by submitting inaccurate diagnostic data for hundreds of thousands of patients covered by Medicare Part C.

The company said it intends to vigorously defend against the lawsuit, which is said is part of a pattern of litigation that attempts to hold it and other plans to “a standard on risk adjustment practices, without providing clear guidance.”

“The government is...

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