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DOJ questions ex-UnitedHealth doctors in probe into Medicare fraud: report
New York Post· 2025-07-09 18:15
Core Viewpoint - The Department of Justice is investigating UnitedHealth for allegedly encouraging staff to make specific diagnoses that would lead to higher Medicare payments, particularly under the Medicare Advantage program [1][6]. Investigation Details - The investigation involves inquiries from the Justice Department, FBI, and Health and Human Services regarding patient testing, diagnostic procedures, and the process of sending nurses to patients' homes [2]. - Former employees reported that investigators asked about training related to making diagnoses and the methods used to contact patients for testing [4][8]. Company Response - UnitedHealth maintains that it supports the integrity of its Medicare Advantage business and welcomes regular reviews of its practices [3]. - The company criticized the Wall Street Journal for what it perceives as a biased narrative against Medicare Advantage, claiming reliance on incomplete data [3][4]. Diagnostic Practices - Former doctors indicated that the focus was on coding practices, specifically how diagnosis codes are submitted to Medicare for payments [5]. - Investigators inquired about bonuses for doctors reviewing potential diagnoses suggested by UnitedHealth [7]. Software and Tools - The investigation also looked into the "diagnosis cart" feature of UnitedHealth's software, which suggests potential medical conditions to nurses [11]. - UnitedHealth argues that its diagnostic practices are aimed at early disease detection and plans to implement independent third-party oversight for these practices [8]. Previous Investigations - A separate decade-long effort by the Justice Department to recover alleged Medicare overpayments from UnitedHealth was unsuccessful [10].
Semler Scientific (SMLR) Earnings Call Presentation
2025-06-27 07:49
The Semler Vision: Medical and Monetary Freedom Empowering Early Detection. Backed by Bitcoin. June 3, 2025 Semler Scientific® Forward-Looking Statements This presentation includes statements that are, or may be deemed, "forward-looking statements." In some cases, these forward-looking statements can be identified by the us of forward-looking terminology, including the terms" believe, ""expect," "plon," "intend," "may, "could," "intend," "may, "could," "might,"" will," "should," or, in each ca their neqqtiv ...
Semler Scientific® Announces CardioVanta™, a New Entity that Seeks to Unlock Value of Future Medical Business Opportunities
Prnewswire· 2025-06-24 12:00
Semler Scientific, Inc. is the second U.S. public company to adopt Bitcoin as its primary treasury reserve asset and is a leader in medical devices and software to combat chronic diseases. By using proceeds from equity and debt financings, as well as cash flows from operations, Semler Scientific intends to strategically accumulate Bitcoin. In addition, through its healthcare businesses, Semler Scientific and its wholly-owned subsidiary, CardioVanta, Inc. develop and market products and services for early de ...
INVESTIGATION ALERT: Edelson Lechtzin LLP Announces Investigation Of Semler Scientific, Inc. (NASDAQ: SMLR) and Encourages Investors with Substantial Losses or Witnesses with Relevant Information to Contact the Firm
Prnewswire· 2025-06-05 02:53
Company Overview - Semler Scientific, Inc. is a healthcare technology company focused on developing and marketing products for the early detection and management of chronic diseases, particularly through its flagship vascular testing device, QuantaFlo [3]. Allegations and Impact - On February 28, 2025, Semler filed its 2024 annual report with the SEC, revealing that the Department of Justice was considering a False Claims Act complaint regarding insurance reimbursement claims related to the QuantaFlo testing device [4]. - Following this disclosure, Semler's stock price dropped by $4.03 per share, representing a decline of 9.4%, closing at $38.89 per share on March 3, 2025 [4]. Legal Investigation - Edelson Lechtzin LLP is investigating potential violations of federal securities laws involving Semler, stemming from allegations of providing potentially misleading business information to investors [1].
INVESTOR ALERT: Pomerantz Law Firm Investigates Claims on Behalf of Investors of Semler Scientific Inc. - SMLR
GlobeNewswire News Room· 2025-06-02 16:53
Core Viewpoint - Pomerantz LLP is investigating potential securities fraud or unlawful business practices involving Semler Scientific Inc. and its officers or directors [1] Company Summary - Semler Scientific Inc. filed its annual report for 2024 on February 28, 2025, indicating a risk of a civil complaint from the U.S. Department of Justice related to the False Claims Act [3] - The company received an initial civil investigative demand from the DOJ in July 2017 concerning reimbursement claims for its QuantaFlo device [3] - Settlement discussions with the DOJ in February 2025 were unsuccessful [3] Market Reaction - Following the news of the investigation and potential legal issues, Semler's stock price dropped by $4.03 per share, or 9.4%, closing at $38.89 per share on March 3, 2025 [4]
Semler Scientific(SMLR) - 2025 Q1 - Earnings Call Transcript
2025-05-13 21:32
Semler Scientific (SMLR) Q1 2025 Earnings Call May 13, 2025 04:30 PM ET Company Participants Douglas Murphy-Chutorian - CEOEric Semler - ChairmanJennifer Herrington - Chief Operating OfficerRenae Cormier - CFO Operator Good afternoon, and welcome to the Semler Scientific First Quarter twenty twenty five Financial Results Conference Call. All participants will be in a listen only mode. After today's prepared remarks, as time permits, management will take questions submitted prior to this call via email. Plea ...
Semler Scientific(SMLR) - 2025 Q1 - Earnings Call Transcript
2025-05-13 21:30
Semler Scientific (SMLR) Q1 2025 Earnings Call May 13, 2025 04:30 PM ET Speaker0 Good afternoon, and welcome to the Semler Scientific First Quarter twenty twenty five Financial Results Conference Call. All participants will be in a listen only mode. After today's prepared remarks, as time permits, management will take questions submitted prior to this call via email. Please note this event is being recorded. Before we begin, Seminole Scientific needs to remind you that certain comments made during this call ...
Semler Scientific(SMLR) - 2025 Q1 - Earnings Call Presentation
2025-05-13 20:26
The Semler Vision: Medical and Monetary Freedom Empowering Early Detection. Backed by Bitcoin. May 13, 2025 Forward-Looking Statements This presentation includes statements that are, or may be deemed, "forward-looking statements." In some cases, these forward-looking statements can be identified by the use of forward-looking terminology, including the terms "believe," "estimate," "anticipate," "expect," "plan," "intend," "may," "could," "might," "will," "should," or, in each case, their negative or other va ...