KHN Morning Briefing

Summaries of health policy coverage from major news organizations

DOJ Investigating Humana Coding, Loan Practices In South Florida

Health insurer Humana said in quarterly filings Monday that the Department of Justice is investigating its coding practices by doctors in South Florida as well as loans made to doctor practices.

Reuters: Florida Investigators Seek Information From Humana
Federal investigators in Florida are seeking information from health insurer Humana Inc about the coding of claims by medical providers and loans to physician practices, among other issues. The civil division of the federal prosecutor's office for the Southern District of Florida informed Humana on Jan. 6 that it was seeking documents and information from the company and several affiliates, Humana said in its quarterly securities filing on Monday (5/1).

Bloomberg: Humana Says U.S. Attorney Asked About Florida Claims 
Humana Inc. (HUM), the second-biggest provider of private Medicare coverage, said the U.S. Justice Department is investigating its coding of medical claims from South Florida doctors and loans made to physician practices. The U.S. Attorney's Office in Miami requested documents and other information from Humana and its affiliates on Jan. 6, the Louisville, Kentucky-based health insurer said in a regulatory filing yesterday. … Humana last year disclosed its own investigation into enrollment practices and loans to providers in its Medicare and Medicaid networks in Florida (Nussbaum, 5/1).

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