HHS AUDIT FINDS THAT THE MEDICARE PROGRAM OVERPAID CIGNA-HEALTHSPRING OF TENNESSEE $5.9 MILLION DUE TO CIGNA’S SUBMISSION OF PATIENT DIAGNOSIS CODES NOT SUPPORTED BY MEDICAL RECORDS
The Office of the Inspector General for the Department of Health and Human Services (“OIG”) has issued a report of its audit of Cigna-HealthSpring of Tennessee’s (“Cigna”) submission of diagnosis codes for its Medicare Advantage members to CMS, which entitled Cigna to additional risk adjustment payments under the Medicare program. The OIG found that the …