News Briefs: Feds Reportedly Question Ex-UnitedHealth Employees on Medicare Billing

Jul 11
Jul 11, 2025

The Wall Street Journal reported on July 9 that federal government officials have interviewed former UnitedHealth Group employees as part of an investigation into the company’s Medicare billing practices. Prosecutors from the Department of Justice as well as officials from the FBI and the HHS Office of the Inspector General have conducted the interviews and asked about UnitedHealth’s “efforts to encourage the documentation of certain lucrative diagnoses, including testing patients, implementing procedures to ensure the medical conditions were captured, and sending nurses to patients’ homes,” according to the Journal.

In a statement released on July 9 after the article was published, UnitedHealth said it stands “behind the integrity of our Medicare Advantage business” and noted it will implement an independent, third-party coding oversight and audit process.
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Tim Casey

Tim has been a reporter and editor for newspapers, websites and magazines for more than 20 years, including 10 years covering health care business topics. He has a deep knowledge of the managed care industry and pharmacy benefit management. He also has experience covering medical conferences and clinical and legislative health care issues. In 2014, the Society for Advancing Business Editing and Writing selected Tim as one of 15 journalists to participate in a national symposium on the Affordable Care Act. Tim has a B.A. in Psychology from the University of Notre Dame and an M.B.A. from Georgetown University.