Quote:
Originally Posted by Rainger99
Now Florida Blue (FB) is objecting to portions of the bankruptcy.
One of the more interesting comments from Florida Blue is the following:
This “problem” turned out to be a four years’ long scheme to add diagnostic codes to patient files that resulted in overpayments by Florida Blue to the Debtor of approximately $25 million.
I am not a lawyer but it seems that TVH wants to pay FB $0 and FB thins they are entitled to $25 million.
The entire document is only 8 pages long.
https://cases.stretto.com/public/x45...0000000132.pdf |
Yikes, more bad news for TVH. Add Blue Cross and Blue Shield to the mix of Medicare Advantage Insurers objecting to the terms of the bankruptcy filing. They strongly imply that TVH engaged in a multiple year scheme to add diagnostic codes to patient files that resulted in overpayment by Florida Blue to TVH of approximately 25 million (not including 2025). Blue Cross is further claiming that TVH must repay these overpayments to Florida Blue, or they will object to the assignment of their Medicare Advantage contracts to any entity that acquires TVH. The bankruptcy filing by TVH claimed they don’t owe Florida Blue anything, which Blue Cross vehemently disagrees with. This obviously throws an additional monkey wrench into the whole process. Florida Blue wants to be reimbursed for overpayments resulting from miscoding by TVH. Without reimbursements, they want to void the assignment of their customers MA contracts, making TVH less attractive to any buyer. Furthermore, this very well might give CenterWell/Humana an opening to back out of the Stalking Horse agreement to purchase TVH because of a material change in value. And finally, this gives further evidence to the bankruptcy court that the bankruptcy filing by TVH includes questionable information that necessities more detailed legal discovery. It has become very clear that TVH wants this process expedited ASAP, with little to no discovery. Every time another bankruptcy court filing comes out this case gets more complicated, potentially extending the outcome and requiring a much deeper dive into TVH’s accounting activities and diagnostic coding practices. Not a good thing for TVH, it’s patients, and residents of the Villages in general.