Big insurance has a new scam. Upcoding — manipulating seniors’ medical records to jack up insurance company profits. Billions stolen from Medicare and taxpayers. At the expense of seniors’ healthcare. Tell Congress: stop the Big Insurance upcoding scam.

Who are pre-authorizations really protecting? If it’s about patients, then make every nonprofit health system prove it. Do pre-auths. Every time. The nonprofit health systems have mastered the art of upcoding and overbilling. But for independents and physician-owned

📉 UnitedHealth and other healthcare giants are cracking, and it’s not just the headline scandals. The real story: For years, insurers like UnitedHealth thrived on Medicare Advantage by “upcoding” diagnoses and collecting billions in extra government reimbursements. Now

#MedicareAdvantage plans are projected to pocket $600B+ in excess payments by 2031 through "upcoding"—inflating how sick patients appear to juice their reimbursements. Your tax dollars, their profit margin. @BrandonNovick writes: https://t.co/Bo1TnmqDxs

From upcoding to ghost patients, fraud has bled our health system. SHA has acted: 85 facilities suspended 12 professionals deactivated #SHAWagesWarOnFraud | DCI Kazi Kwenu

Healthcare fraud is a global problem. In Kenya, SHA is confronting it head-on — stopping upcoding, collusion & fake claims. #SHAAgainstFraud Call 147 Mulika Mwizi

Congress and DOGE must address the Big $$$ rip off. Top-down management fails to curb upcoding in Medicare Advantage, where providers inflate our diagnoses for higher payments. This is theft of our Treasury.

SHA's system is uncovering "upcoding" where facilities bill for complex procedures when only minor services were provided. This is how they steal from the public. #NoFakeClaims SHA Curbs Fraud Claims

Ajankohtaisessa keskustelussa diagnoosien kirjaamisesta ja sote-rahoituksesta on hyvä muistaa: Suomessa ilmiötä ei ole vielä tutkittu systemaattisesti. Kansainvälisesti ns. upcoding on laajasti tutkittu eri terveydenhuoltojärjestelmissä. 🔗 https://t.co/wFpXjnN6cK #sote #rahoitus

PGY4 Ernie Morton presenting results of ambient listening technology during clinic visits. 69% felt it improved wellness and there was a mean increase of 189 rvu/mth between high and low users. Authors stated no increase in patients seen but increase from upcoding in billing

Yoo-hoo, @GovTimWalz, is your state using United HC’s Optum unit to audit for fraud in Medicaid? United is under investigation for upcoding fraud in Medicare advantage. I hope federal lawmakers are watching. I’ll tag a few: @Ilhan @GOPMajorityWhip @DrOz

SHA has taken action against 85 facilities, suspending them for practices like upcoding, falsified patient records, and billing for phantom patients. #SHAWagesWarOnFraud DCI Kazi Kwenu

SHA in Kenya has rejected KSh 10.6 billion in fraudulent claims since April 2025, detecting upcoding and ghost patients through its AI system TaifaCare. SHA Fake News

Northwell Set to Take Over Optum Specialties, Local Doctor Sources Say https://t.co/q3S5GqZ1fH "After nearly three years of following Optum’s erratic local adventures – the beleaguered phone system, the alleged upcoding, the patient billing complaints, the doctor exodus, and

85 facilities have been suspended for fraud, including practices like upcoding, falsified records, false inpatient billing, and phantom patients. #SHAWagesWarOnFraud DCI Kazi Kwenu

Yeah we know how this works I've been posting for years at United healthcare is a big CMS contractor and does payment integrity, and oh wait a minute they're the one of the ones that's been accused of upcoding- they work both sides so CMS once in a while may fine them a little

🏥🩺Two dermatology providers have agreed to pay $847K+ to resolve false wound repair claims related to allegations of upcoding and #Medicare fraud. A former employee who decided to blow the whistle and initiated this case will receive $152,531 as his share of the settlement.

“How can AI stop upcoding and medical fraud? We are using data science to detect patterns and save 40–50% in health costs.” Eng. Lenayira, #GDSAI2025 #AIinHealth #DataScience

The types of fraud uncovered by SHA include sophisticated schemes such as upcoding services, falsifying medical records, billing for false inpatient admissions, and creating phantom patients. #SHAWagesWarOnFraud DCI Kazi Kwenu

85 healthcare facilities have been suspended for fraudulent practices, including upcoding, falsified records, false inpatient billing, and phantom patients. 12 professionals have been deactivated and claim recovery is ongoing. #SHAWagesWarOnFraud DCI Kazi Kwenu