Independence Blue Cross Agrees to Pay $22.5 Million to Resolve Medicare Advantage Risk Adjustment False Claims Act Case: “Additions” Without “Deletions”
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Independence Blue Cross (IBX) has agreed to pay $22.5 million to the United States to resolve a whistleblower lawsuit, United States ex rel. Crawford v. Independence Blue Cross, No. 20-cv-5818 (E.D. Pa.), concerning the risk adjustment data it submitted to the Centers for Medicare & Medicaid Services (CMS) for its Medicare Advantage (MA) plans. Of… The post Independence Blue Cross Agrees to Pay $22.5 Million to Resolve Medicare Advantage Risk Adjustment False Claims Act Case: “Additions” Without
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- Risk adjustment & RADVmatch 95
- Payment integrity & fraud, waste, abusematch 88
Risk adjustment applications in commercial large group health insurance
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