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
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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.