DOJ questioned former UnitedHealth doctors as it investigates claims that the health insurance giant pushed staffers to make diagnoses that triggered higher Medicare payments, according to a report. The investigation, which dates back to at least last summer, concerns alleged efforts to encourage staffers to record certain diagnoses that trigger higher payments under Medicare Advantage, The Wall Street Journal reported. Investigators for the DOJ, FBI, and HHS have been asking for details on patient testing, procedures used to reach certain diagnoses and the process of sending nurses to patients' homes, according to former UnitedHealth employees.
In a social media landscape shaped by hashtags, algorithms, and viral posts, nurse leaders must decide: Will they let the narrative spiral, or can they adapt and join the conversation?
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