Independence Blue Cross, the Philadelphia-based health insurer, has agreed to pay $22.5 million to resolve allegations that it kept Medicare Advantage overpayments tied to inaccurate diagnosis codes, the U.S. Department of Justice announced Sept. 30.
The government alleged that for payment years 2017 through 2021, the insurer failed to withdraw diagnosis codes for its Medicare Advantage members that its own chart reviews did not support. The company did not admit wrongdoing. "The claims resolved by the settlement are allegations only and there has been no determination of liability," the Justice Department said.
