BILLING AND CODING—SETTLEMENT... - VitalLaw.com
The government alleged Aetna knowingly submitted unsupported diagnosis codes, resulting in overpayments by Medicare. Aetna Inc. has agreed to pay a total of $117.7 million to resolve two separate ...
RFK Jr. admitted agency knew it would fire the wrong people but proceeded anyway
A federal court refused to throw out claims that 10,000 federal workers lost their jobs based on flawed data officials knew was wrong.
The January 22 decision could become a watershed moment for how organizations handle mass layoffs. A federal judge in Washington allowed a class action lawsuit to move forward against the Department of Health and Human Services (HHS), rejecting government arguments that the case should be dismissed before any evidence could be gathered.
The lawsuit stems from an April 1 reduction in force that swept through HHS. Seven former employees claim they were among roughly 10,000 workers terminated based on personnel records riddled with errors, particularly around performance ratings. What makes the case unusual is not just the scale but what the workers say happened next.
The complaint quotes HHS Secretary Robert F. Kennedy Jr. publicly acknowledging the problem. "Personnel that should not have been cut, were cut," he reportedly said in early April. "We're reinstating them. And that was always the plan." He went on to explain that the agency expected to conduct 80 percent cuts knowing that 20 percent would need reinstatement because of mistakes.
In another interview days later, according to the complaint, Kennedy said the agency could not slow down to fix errors because doing so "takes too long and you lose political momentum." There would be "casualties," he added.
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The government alleged Aetna knowingly submitted unsupported diagnosis codes, resulting in overpayments by Medicare. Aetna Inc. has agreed to pay a total of $117.7 million to resolve two separate ...