UnitedHealthcare, one of the nation’s largest insurers, filed a lawsuit against Envision Healthcare alleging it overpaid the physician staffing firm millions of dollars after Envision exaggerated the complexity of illness and care provided to thousands of patients in emergency rooms, Healthcare Dive reports.
UnitedHealthcare alleged Envision, one of the largest physician staffing firms in the U.S., has “systematically deceived” the insurer into overpaying through a practice known in the industry as “upcoding,” according to a lawsuit filed in a federal court in Tennessee on Friday.
Envision declined to comment as it evaluates UnitedHealthcare’s claims. However, Envision filed a lawsuit of its own last week in the same federal court, alleging UnitedHealthcare wrongly denied payment for emergency room services provided by Envision’s clinicians. Read more.
