As part of an ongoing investigation into fraudulent reimbursement rates, New York Attorney General Andrew Cuomo has announced intentions to file suit against Ingentix Inc., the nation’s largest provider of healthcare billing information, which is owned by UnitedHealth Group (Minnetonka, MN). Cuomo’s office is alleging that Ingentix uses a "defective and manipulative" database to set reimbursement rates for out-of-network expenses. In addition, Cuomo is alleging that two subsidiaries of UnitedHealth have under-reimbursed their members for out-of-network medical expenses based on data provided by Ingentix. The attorney general’s office recently issued 16 subpoenas to insurance companies, including Aetna, Cigna, and Empire BlueCross BlueShied, as part of the investigation.

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March 2008 - Table of Contents

LIR March 2008 (full PDF issue)

More Labs Turn to Alternative Competitive Strategies as Contract Prices Decline

Quest Projects 9% Growth in 2008 Revenues, LabCorp Sees 13%

Physicians Name Insurance, Billing Woes as Top Nat’l Lab Complaints

Benchmarking the National Labs—Quest and LabCorp Post Gains in Revenue per FTE

As Managed Care Upheavals Subside, It’s Time for Labs to Strategize

San Diego Labs Hope for Injunction to Halt Comp Bidding Demo

Symbion Deal Consolidates Australia’s Pathology Market

As Quest Boosts Sales Efforts, Here’s How to Compete

Lab Index Down 7% Over 5 Wks; Quest Down 5%, LabCorp Up 8% in February

UnitedHealth in NY AG Cuomo’s Crosshairs for Reimbursement Fraud