During the 2023 fiscal year, False Claims Act settlements and judgments surpassed $2.68 billion.
Healthcare fraud made up more than half of the settlements and judgments, with more than $1.8 billion being related to matters involving the healthcare industry.
The biggest settlement of last year involved the Cigna Group, which agreed to pay $172 million to resolve allegations that it knowingly submitted and failed to withdraw inaccurate and untruthful diagnosis codes for its Medicare Advantage Plan enrollees to increase its payments from Medicare, according to the Justice Department.
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.