The U.S. Attorney's Office is investigating some of Humana’s southern Florida affiliates and providers for possible violations of Medicare regulations. In Humana’s annual report, it says since January, U.S. attorneys have requested information from Humana and some southern Florida affiliates for alleged violations to the coding of medical claims and loans to physicians.
In the report, Humana says it currently has its own ongoing investigation in Florida and has willingly updated the U.S. Department of Justice and the Center for Medicare and Medicaid Services. The report does not contain any results of either investigation. The company says if the federal investigation is resolved unfavorably, if could result in substantial monetary damages. Humana was fined $3.4 million by the state earlier this year for not appropriately reporting suspected Medicaid fraud, as reported by the local CBS affiliate. Humana would not comment on the issue passed the report.
