Talk of The Villages Florida - View Single Post - UHC under federal investigation for Medicare Fraud
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Old 07-25-2025, 07:58 AM
CoachKandSportsguy CoachKandSportsguy is offline
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Quote:
Originally Posted by golfing eagles View Post
Exactly. (Hypothetically), neither TVH's internal audit nor their paid outside consultants found the error/discrepancy/misinterpretation in coding. It was Humana performing their due diligence prior to an acquisition/merger that disagreed with TVH coding, which is why it went on for years and accumulated so many millions in repayment/penalties.
if your job depends upon not finding a smoking gun, then you won't find it.
Intermediate behavioral economics 201
consultants are paid to provide cover for the current mgmt.
Advanced behavioral economics 301

Watch "The Big Short" again