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 ...
Navigating reasonable accommodations under the Americans with Disabilities Act (ADA) and related state laws can be challenging for employers—particularly on the thorny issues of leave and remote work. The U.S. Court of Appeals for the Fourth Circuit, in the case of Coffman v. Nexstar Media Inc., offers some guidance on these topics.
Quick Hits
Background
The employer approved eight weeks of remote work for an account manager experiencing pregnancy complications, followed by twelve weeks of Family and Medical Leave Act (FMLA) parental bonding leave after she gave birth to twins. Due to severe childbirth-related complications, the employee required surgery that imposed significant physical restrictions, and she was approved for short-term disability (STD) benefits under her employer’s STD policy through her anticipated return date.
When the employee failed to return as expected, the employer contacted her. The employee stated she remained unable to work, that her STD benefits had been extended, and directed the...
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 ...