Whistleblower Alleges Medicare Fraud At Iconic Seattle-Based Health Plan

Group Health Cooperative in Seattle, one of the nation’s oldest and most respected nonprofit health insurance plans, is accused of bilking Medicare out of millions of dollars in a federal whistleblower case. Teresa Ross, a former medical billing manager at the insurer, alleges that it sought to reverse financial losses in 2010 by claiming some patients were sicker than they were, or by billing for medical conditions that patients didn’t actually have. As a result, the insurer retroactively collected an estimated $8 million from Medicare for 2010 services, according to the suit. Ross filed suit in federal court in Buffalo, N.Y., in 2012, but it remained under a court seal until July and is in the initial stages. The suit also names as defendants two medical coding consultants, consulting

from http://besthealthnews.com/2019/10/whistleblower-alleges-medicare-fraud-at-iconic-seattle-based-health-plan/?utm_source=rss&utm_medium=rss&utm_campaign=whistleblower-alleges-medicare-fraud-at-iconic-seattle-based-health-plan

from
https://healthnews010.tumblr.com/post/188441936633