Overpayment

UnitedHealth Wellmed Overlooks Provider Overcoding and Overpayments Leading to False Claims Act Allegations

Posted on by Simon Mikail
Category: Uncategorized
Our Los Angeles and Orange County based False Claims Act (“FCA”) attorneys report that the Department of Justice recently joined a whistleblower lawsuit against the UnitedHealth Group and Wellmed.  The main allegations claim that UnitedHealth Group, the country’s largest healthy insurer and Wellmed Medical Manag...

Attention Whistleblowers: CMS Clarifies the 60 Day Overpayment Rule which Drastically Affects False Claims Act Cases

Posted on by Simon Mikail
Category: Whistleblower Protection
Normally, whistleblowers that come into our office have identified an overpayment made by the government to their employer and the employer, most often, knowingly neglects to repay the amount.  The “60 Day Rule” as it is called was a part of Obama’s Affordable Care Act and implemented in March 23, 2010.  It req...