{"id":26954,"date":"2023-10-02T19:38:08","date_gmt":"2023-10-02T19:38:08","guid":{"rendered":"https:\/\/staging.sightlinemg.com\/federaltimes\/uncategorized\/2023\/10\/02\/cigna-to-pay-over-172m-to-settle-claims-over-medicare-reimbursement\/"},"modified":"2026-08-08T05:09:58","modified_gmt":"2026-08-08T05:09:58","slug":"cigna-to-pay-over-172m-to-settle-claims-over-medicare-reimbursement","status":"publish","type":"post","link":"https:\/\/staging.sightlinemg.com\/federaltimes\/federal-oversight\/2023\/10\/02\/cigna-to-pay-over-172m-to-settle-claims-over-medicare-reimbursement\/","title":{"rendered":"Cigna to pay over $172M to settle claims over Medicare reimbursement"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Health insurance provider The Cigna Group will pay more than $172 million over claims it gave the federal government inaccurate Medicare Advantage diagnoses codes in order to inflate reimbursement.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The case centered around allegations that Cigna violated the False Claims Act by submitting and not withdrawing \u201cinaccurate and untruthful\u201d codes, according to the U.S. Department of Justice.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The department said in a statement Saturday that Cigna falsely certified in writing that its data was truthful.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cigna said that the settlement with the government resolved a long-running legal case and \u201cavoided the uncertainty and further expense\u201d of a drawn-out legal battle.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare Advantage plans are privately run versions of the federal government\u2019s Medicare program mainly for people 65 and older.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cigna also said it will enter a corporate-integrity agreement for five years with the U.S. Department of Health and Human Services inspector general office. That deal is designed to promote compliance with federal health program requirements.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Shares of Bloomfield, Connecticut-based Cigna climbed 86 cents to $286.93 in Monday afternoon trading. Broader indexes were mixed.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The case centered around allegations that Cigna violated the False Claims Act by submitting and not withdrawing \u201cinaccurate and untruthful\u201d 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