SCOTUS Rejects UnitedHealth Appeal of Medicare Advantage Overpayment Rule

The U.S. Supreme Court on Tuesday declined to hear UnitedHealthcare’s challenge to a federal rule requiring private insurers that administer Medicare Advantage plans to refund payments based on unsupported diagnoses in beneficiaries’ medical records. The 2014 rule calls for the overpayment to be returned to the CMS no later than 60 days after it is identified, Healthcare Dive reports.

Without comment, the justices denied UnitedHealth’s petition to review a 2021 federal appeals court decision that restored the Medicare overpayment rule after a lower court sided with the country’s biggest private payer.

UnitedHealth said it would continue to comply with the CMS rules and remain focused on providing affordable, quality healthcare to millions of seniors. Read more.

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