News & Perspectives

U.S. Supreme Court Declines to Hear Appeal by UnitedHealth Group, Inc. Requiring Return of Medicare Overpayments Based on Faulty Diagnoses

22. June 2022 Sam Fish Health

On Tuesday, June 21, 2022, the U.S. Supreme Court rejected an appeal by UnitedHealth Group, Inc., leaving in place a federal rule requiring Medicare Advantage plans to return overpayments based upon wrongful diagnoses.

Under the rule, if a Medicare Advantage Plan learns that it received a Medicare payment based on anĀ unsupported diagnosis, it must return that payment within 60 days.