Whistle-blower: settlement in Medicare abuse suit too low

Article Abstract:

Blue Cross and Blue Shield of Florida will have to pay $10 million in a civil settlement over allegations that they grossly mismanaged Medicare claims. Theresa Burr, the senior claims handler who exposed the problem, plans to oppose the settlement. Burr says that no federal agency worked with her to help pinpoint the extent of the abuse. The government determined that the mishandling resulted in $3.3 million in damages.

Life insurance, Medicare

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Justice joins suit charging claims mishandling by Florida Blues

Article Abstract:

The Department of Justice believes that Blue Cross and Blue Shield Inc (Florida Blues) mishandled Medicare Part B claims from 1986 to 1992 and has joined suit against the insurer. The suit, which was originally filed by Theresa Burr, charges the Florida Blues with choosing an underqualified data processing service, overcharging and erasing claims. In addition, the claims problems violate the False Claim Act.

Legal counsel and prosecution, United States. Department of Justice

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Minn. Blues' presence adds new power to tobacco suit

Article Abstract:

The participation of Blue Cross and Blue Shield of Minnesota in the state's lawsuit against the tobacco industry makes the case unique among such cases. No other corporate health services purchasers are involved in such suits. Antismoking advocates believe that the Minnesota case presents a good opportunity to expose the tobacco industry's allegedly illegal activities.

Regulation, Licensing, and Inspection of Miscellaneous Commercial Sectors, Administration of Public Health Programs, Cigarettes, Cigarette Manufacturing, Health Programs-State, Antitrust Regulation-State, Antitrust law, Fraud, Tobacco industry, Health policy, Minnesota, Blue Cross and Blue Shield of Minnesota

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