Arizona Cardiology Group Pays $4.75M Over Unnecessary Vein Ablations
Tri-City Cardiology, P.C., based near Phoenix, Arizona, along with three individual physicians, agreed to pay $4.75 million to resolve claims of performing unnecessary vein ablation procedures. The Justice Department alleges these treatments were not medically justified, violating the False Claims Act by submitting fraudulent Medicare claims. This case affects Medicare and federal healthcare programs, which reimbursed payments for these unwarranted procedures. Patients subjected to unnecessary ablations may have faced risks and endured medical interventions with no real benefit, while federal funds were improperly spent. The settlement underscores the government’s commitment to rooting out healthcare fraud and protecting vulnerable patients from... [Continue Reading]
360LiveNews | 12 Mar 2026 16:33
Aetna Agrees to Pay $117.7 Million to Resolve False Claims Act Allegations
Aetna Inc., one of the largest health insurers in the United States, has agreed to pay $117.7 million to resolve allegations that it submitted false or inaccurate diagnosis codes for its Medicare Advantage plan members. The improper coding was intended to inflate Medicare payments by making enrollees appear sicker and thus more costly to cover. This settlement follows claims brought under the False Claims Act, which seeks to protect government funds from fraudulent billing. Medicare Advantage plans, like those offered by Aetna, receive monthly payments adjusted by risk scores that reflect beneficiaries’ health conditions. By submitting inaccurate codes, Aetna allegedly... [Continue Reading]
360LiveNews | 11 Mar 2026 16:03
