Managed care companies across the United States continue to await a ruling on a series of class-action lawsuits alleging that the nation's largest managed care companies violated the Racketeer Influenced Corrupt Organ-izations Act (RICO).Filed in the U.S. District Court Southern District of Florida, the litigation claims that managed care companies violated the RICO Act by conspiring to reduce and delay claims payments to network physicians. One allegation lodged by a plaintiff physician, for instance, claims that managed care companies used billing software to automatically "bundle" several CPT (Current Procedural Terminology) codes and, in turn, failed to reimburse the physician for all services rendered.
The lawsuits are part of a group of consolidated class-action suits, transferred to the Florida court from various courts across the country that have been brought against managed care organizations by consumers and physicians on behalf of millions of potential class members.
Register or login for access to this item and much more
All Digital Insurance content is archived after seven days.
Community members receive:
- All recent and archived articles
- Conference offers and updates
- A full menu of enewsletter options
- Web seminars, white papers, ebooks
Already have an account? Log In
Don't have an account? Register for Free Unlimited Access