Another alleged rip off linked to Medicare Advantage risk scores

Anita Silingo, former compliance officer at Mobile Medical Examination Services, Inc., filed a lawsuit accusing the company of falsely diagnosing medical conditions that resulted in Medicare Advantage plans overcharging the government at least $1 billion, The Center for Public Integrity reported. Silingo says she was fired after trying to stop MedXM from exaggerating how sick beneficiaries were to boost risk scores and reimbursements for home health assessments. Problems she cited included doctors doing up to 25 daily home visits and inaccurate blood tests that skewed diagnostic results. Insurers named in the lawsuit--all of whom declined to comment on the case--allegedly ignored MedXM's activities. Silingo's lawsuit is one of several whistelblower cases on this issue pending in federal courts, The Center for Public Integrity noted. Article

 

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