Court Ruling Against Aetna and Optum in “Dummy” Billing Codes Case Should Be a Wake-up Call For Self-funded Group Health Plans
The Fourth Circuit U.S. Court of Appeals ruled recently that a class action case could proceed against Aetna and Optum for using so-called “dummy” billing codes whereby Aetna told Optum-owned providers to “bury” charges for these miscellaneous billing codes into the billed charges for the self-funded health plan operated by Mars Inc. The plaintiff, Sandra […]