UnitedHealth says most home-health diagnoses were supported in 2025
FTI Consulting reviewed 200 visits and found 17 unsupported diagnoses, while UnitedHealth said most were backed by other records.
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4 Articles
External audit of UnitedHealth senior home visits finds most diagnoses supported by medical data
HouseCalls has been accused of generating trumped up diagnoses to hike UnitedHealth’s Medicare reimbursement. But the review found almost 97% of diagnoses found in the home visits were backed up by patients’ medical records, UnitedHealth said.
UnitedHealth says audit clears it as Medicare payment probe intensifies
UnitedHealth on Tuesday said an audit by an external consulting firm showed nearly 97% of diagnoses identified within its HouseCalls home-health unit were supported by a patient's medical record
UnitedHealth says most home-health diagnoses were supported in 2025
By Amina Niasse NEW YORK, July 7 (Reuters) – UnitedHealth on Tuesday said an audit by an external consulting firm showed nearly 97% of diagnoses identified within its HouseCalls home-health unit, which has faced scrutiny from lawmakers, were supported by a patient’s medical record. “We look at this with both a sense of pride, but also humility,” said Wyatt Decker, an executive vice president at UnitedHealth, adding the company aims to make su…
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