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UnitedHealth Under DoJ Investigation Over Medicare Billing Practices
Yahoo Finance ^ | February 21, 2025 | Muslim Farooque

Posted on 02/21/2025 8:24:34 AM PST by gas_dr

Shares of UnitedHealth Group (NYSE:UNH) fell sharply in premarket trading Friday after The Wall Street Journal reported that the U.S. Department of Justice (DoJ) has launched a new civil fraud investigation into the company's business practices.

The probe focuses on how UnitedHealth adds questionable diagnoses to members' medical records, allegedly inflating payments for its Medicare Advantage plans. The investigation also involves the Office of Inspector General at the U.S. Department of Health and Human Services, according to sources cited in the report.

(Excerpt) Read more at finance.yahoo.com ...


TOPICS: Breaking News; Business/Economy; Crime/Corruption; News/Current Events
KEYWORDS: aarp; billing; civilfraud; doj; fraud; medicare; unitedhealth
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United Health is the worst of the worst. United owned the platform that was hacked in February 2024 which was the clearinghouse for the vast majority of prior authotizations, payments to and from insurance and practices, hospitals, and patient benefits. I, for one am thrilled that the new DOJ is looking at this, and I sincerely hope United pays through the nose. Discovery will be unpleasant having dealt with united on my end and watched their decisions of not authorizing proper care of patients bring great harm to the members of this so called healthcare group.
1 posted on 02/21/2025 8:24:34 AM PST by gas_dr
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To: gas_dr

This is one of the worst kept secrets ever. Everyone knew United was crooked but they must have been funding Democrats. Looking into Medicare and Medicaid fraud is going to freak them out.


2 posted on 02/21/2025 8:27:11 AM PST by AppyPappy (If Hitler were alive today and criticized Trump, would he still be Hitler?)
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To: gas_dr

When people learn the full truth of all of this, the ones in charge won’t be able to walk down the street. Oh, wait ... we may already have reached that point.


3 posted on 02/21/2025 8:27:44 AM PST by ClearCase_guy
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To: gas_dr

Still the Mangione fanbois won’t care, since it’s “Evil” Trump doing it.


4 posted on 02/21/2025 8:28:16 AM PST by dfwgator (Endut! Hoch Hech!)
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To: gas_dr
The probe focuses on how UnitedHealth adds questionable diagnoses to members' medical records, allegedly inflating payments for its Medicare Advantage plans.

That should be criminal, not civil.

5 posted on 02/21/2025 8:30:35 AM PST by Carry_Okie (The tree of liberty needs a rope.)
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To: gas_dr

It’s maddening that they won’t authorize procedures that are needed and turn around and submit requests for payment for the very same procedure that wasn’t allowed.


6 posted on 02/21/2025 8:32:11 AM PST by Blood of Tyrants (It is long past time to dump the entire Treasury drawer and throw away the crap.)
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To: Blood of Tyrants

They’re enemy is capitalism. It’s no wonder the guy got shot. Feeds the narrative.


7 posted on 02/21/2025 8:33:57 AM PST by DIRTYSECRET
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To: gas_dr

United Health is just a consequence and symptom of America’s bloated, cost-shifting, crony-socialist and Democrat-run health care system.

They are just playing the game according to the complex rules Government has made


8 posted on 02/21/2025 8:35:45 AM PST by PGR88
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To: gas_dr

I’m glad they are looking into this my mom has Medicare advantage through United healthcare it’s crap she pays more monthly now than last yr and the price of her meds went up


9 posted on 02/21/2025 8:41:29 AM PST by Sarah Barracuda
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To: gas_dr
United Health is the worst of the worst.

They have been awful for decades. Used to be they simply slow paid or no paid fee-for-service. Then they developed the black box edits to deny claims. Fortunately, there are whistle blowers today for the Medicare Advantage inflated diagnoses.

Hopefully, more people will learn UHC has its tentacles all over healthcare billing and reimbursement. They own Optum too.

10 posted on 02/21/2025 8:42:51 AM PST by NautiNurse (Beulah is the name Hillary! gave to her roly-poly belly blubber. TMI. )
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To: gas_dr

Of course they are and upcoding is a time honored art form in the never ending quest to maximize cash flow by medical providers. Yet there is some irony that FedGov paid hospitals additional dollars for patients with a covid diagnosis whether or not covid was the reason the patient was in the hospital to begin with.


11 posted on 02/21/2025 8:46:10 AM PST by buckalfa (They say nothing is impossible, yet I accomplish nothing every day.)
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To: gas_dr

Guaranteed they are not alone in the practice, they need to investigate all , kaiser, Blue Shield, etc.


12 posted on 02/21/2025 8:58:23 AM PST by Mastador1
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To: Carry_Okie

I agree, fraud, pure and simple, and practicing medicine without a license


13 posted on 02/21/2025 9:09:18 AM PST by gas_dr (Conditions of Socratic debate: Intelligence, Candor, and Good Will)
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To: buckalfa

But the allegation here is that the physicians and provideres did not upcode, it was UNITED who upcoded. Dispicable


14 posted on 02/21/2025 9:10:33 AM PST by gas_dr (Conditions of Socratic debate: Intelligence, Candor, and Good Will)
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To: gas_dr

So go after them first, then everyone else. And I do mean “everyone else”. There are no insurance companies not guilty of fraud at some level and they need punishment.


15 posted on 02/21/2025 9:12:53 AM PST by Retrofitted
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To: gas_dr

Just wait until DOGE starts poking around in the HealthCare.gov market place, methinks United Health will be the tip of the proverbial iceburg ...


16 posted on 02/21/2025 9:17:07 AM PST by SecondAmendment (The history of the present Federal Government is a history of repeated injuries and usurpations .)
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To: gas_dr

I’m not cheering the shooter on.

But I don’t like this company either. We were denied a few times for certain things that were never made clear. My company offers UH and I’m not sure its worth it as this point.


17 posted on 02/21/2025 9:27:27 AM PST by Nifty
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To: gas_dr

It’s no surprise the captains of this epic greed have become targets.


18 posted on 02/21/2025 9:41:15 AM PST by dragnet2 (Diversion and evasion are tools of deceit)
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To: gas_dr
United Health is the worst of the worst.

Break up United Health?

19 posted on 02/21/2025 9:42:16 AM PST by MinorityRepublican
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To: ClearCase_guy
Deep State involvement, another SLUSH FUND for crooked money transfers to DemonRats..

And anyone who thinks Mangione was acting ALONE is a nut job. The "homeless person" standing next to Mangione as he fired his weapon was a LOOKOUT. And seriously, if you look at the video of the murder it doesn't at all look like Mangione was AIMING AT HIS LEG yet that is where the first shot landed.

The murder of CEO Brian Thompson was a CONSPIRACY involving more persons than just Mangione. BET ON IT.

20 posted on 02/21/2025 9:57:30 AM PST by CivilWarBrewing (Get off my back for my usage of CAPS, especially you snowflake males! MAN UP!)
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