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UnitedHealth Group Confirms Dual DOJ Probes into Medicare Advantage Billing

Initiating third-party audits of coding and care-management processes after alerting regulators sent its stock down nearly 4%

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Overview

  • UnitedHealth disclosed on July 24 that it is subject to both formal criminal and civil Department of Justice requests into its Medicare Advantage billing practices.
  • The insurer said it proactively reached out to the DOJ after reviewing media reports and has begun complying with its subpoenas.
  • It launched independent third-party reviews of risk-adjustment coding, managed-care practices and pharmacy services to bolster its compliance frameworks.
  • Its shares fell nearly 4% in premarket trading following the disclosure of the inquiries.
  • UnitedHealth is scheduled to address the investigations and its second-quarter results during its July 29 earnings call.