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 ...
; ; ;
The Social Security Administration’s internal watchdog is investigating a complaint that alleges a former U.S. DOGE Service employee claimed he had access to two highly sensitive agency databases and planned to share the information with his private employer — a claim that, if true, would constitute an unprecedented breach of security protocols at an agency that serves more than 70 million Americans.
The agency’s inspector general is investigating the disclosure and has alerted members of Congress of its existence, according to a letter by the acting inspector general to top members of four congressional committees reviewed by The Washington Post and two people familiar with the process, who spoke on the condition of anonymity to describe sensitive deliberations. The inspector general’s office has also shared the disclosure with the Government Accountability Office, which has been conducting its own audit of DOGE’s access to data, according to one of the people. The Post has reviewed the complaint and spoken with the whistleblower, who issued the complaint anonymously for fear of retaliation.
According to the disclosure, the former DOGE software engineer, who worked at the Social Security Administration last year before starting a job at a government contractor in October, allegedly told several co-workers that he possessed two tightly restricted databases of U.S. citizens’ information, and had at least one on a thumb drive. The databases, called “Numident” and 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 ...