US Intervenes In Lawsuit Against Cigna alleging Medicare Fraud

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This is the case of U.S. v. Cigna Corp. et al., in the U.S. District Court for the Middle District of Tennessee.

On Monday, The U.S. federal government intervened in a civil lawsuit alleging that Cigna Corp. overbilled its Medicare Advantage payments. The complaint alleges that Cigna submitted overstated diagnoses for patients to make it seem as though they had more serious medical conditions.

The Government is intervening in a lawsuit filed by a whistleblower, which was originally filed in the United States District Court for the Southern District of New York and later transferred to the Middle District of Tennessee.

According to the complaint, from 2012 to 2019, Cigna is alleged to have submitted fake or exaggerated patient diagnosis reports to the government to “improperly inflate” the payments that Cigna received for providing services to patients covered under Medicare Advantage policies.

On Monday, U.S. Attorney Damian Williams said in a statement that “Cigna obtained tens of millions of dollars in Medicare funding by submitting to the government false and invalid diagnoses for its Medicare Advantage plan members.”