Independence Blue Cross to pay $22.5 million to settle Medicare Advantage fraud claims

Independence Blue Cross (IBX) has agreed to pay $22.5 million to resolve allegations that it violated the False Claims Act by failing to withdraw inaccurate diagnosis codes for its Medicare Advantage enrollees and improperly retaining Medicare overpayments, the Justice Department announced.

Independence Blue Cross to pay $22.5 million to settle Medicare Advantage fraud claims

TL;DR

  • Independence Blue Cross (IBX) agrees to pay $22.5 million.
  • Settlement resolves allegations of violating the False Claims Act.
  • Allegations include failing to withdraw inaccurate diagnosis codes for Medicare Advantage enrollees.
  • IBX is also accused of improperly retaining Medicare overpayments.