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UnitedHealth facing DOJ investigation over Medicare billing

The Unitedhealth logo on a laptop held in New York on Friday, July 7, 2023.

Gabby Jones | Bloomberg | Getty Images

Unitedhealth Group On Thursday, he announced that he was faced with a Ministry of Justice investigation about Medicare billing practices and added a series of mishaps for a company with the country’s largest and most powerful private insurer.

Inside Securities filingThe company said that he started to comply with the demands of official criminal and law from Doj. Unitedhealth also said that he started a third -party investigation on business policies and performance metrics.

The company told CNBC that he expects this review towards the end of the third quarter.

In the file, Unitedhealth said that “he was fully confident in his applications and was determined to work in cooperation with the department throughout this process.”

Unitedhealth Group shares fell about 4% in marketing on Thursday.

Coming after Wall Street Journal reported In May, the Ministry of Justice is conducting a criminal investigation into the health giant on possible medical fraud. In response to that time, the company said that “according to the integrity of our Medicare Advantage program”.

Magazine in July It was also reported Doj, Unitedhealth’s applications and Medicare Advantage Program, whether they have been pressing on a request for a request for specific conditions that support the company.

This showed that the Medicare Advantage business of the insurance company for the second time this year was in the federal examination. The magazine also reported that in February, Doj had a civilian investigation on whether the company’s medicare advantage plans were diagnosed to trigger extra payments.

However, on Thursday, the Unitedhealth, Medicare and Medicaid Service Centers, independent audits, the company’s applications “among the most accurate ones in the sector” confirmed “confirming”.

Unitedhealth also drew attention to a special master’s advice in favor of the company in a year of legal war with the company’s Medicare Advantage Program, which began with an informant who started with an informant claiming that it was hiding at least $ 2 billion in an illegal way. Private master appointed by a judge in the case, Doj said that there was no evidence.

The Medicare and Pension segment, which includes Unitedhealthcare’s Medicare Advantage Business, is the largest income driver of Unitedhealth Group and sells $ 139 billion last year.

The update in the probe comes after a turbulent for Unitedhealthcare last year. The parents of Unitedhealthcare’s parents, Unitedhealth GroupAfter suspending the estimation of 2025 among the medical costs, he fell more than 42% for the year, announced the surprise output of former CEO Andrew Witty and drowned in Medicare Advantage.

The company’s 2024 was not easier to be marked with a historical cyber attack and the public recoil of the public after the murder of Brian Thompson, CEO of Unitedhealthcare.

– Bertha Coombs from CNBC contributed to this report.

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