Providers Prevail On Aetna’s Fraud Counterclaims, But Can’t Secure Sanctions

Mealey's (February 8, 2022, 12:09 PM EST) -- OKLAHOMA CITY — A federal judge in Oklahoma granted emergency care providers summary judgment on counterclaims alleging that a 36% upcoding rate constituted fraud but denied their motion alleging pretrial misconduct and seeking sanctions on Jan. 17....