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 ...
Executive Summary
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In the November 2025 Budget, the UK government confirmed that His Majesty’s Revenue and Customs (HMRC) will be introducing a “US-style” whistleblower incentive scheme (Scheme) in the UK. The Scheme is designed to encourage individuals to come forward with valuable information that enables HMRC to tackle high-value tax avoidance and evasion. HMRC already has access to a discretionary payment scheme under the Commissioners and Revenue and Customs Act, to reward whistleblowers. However, payments made under this provision were rare and low.
The enhanced Scheme offers materially increased financial incentives to whistleblowers, geared to the tax collected by HMRC using the informant’s information. The government is pressuring HMRC to close the “tax gap” by launching more investigations into individuals and companies.
The structure of the Scheme reflects HMRC...
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 ...