National insurer Aetna Inc. has agreed to pay $117,700,000 to resolve allegations that it violated the False Claims Act by submitting or failing to withdraw inaccurate and untruthful diagnosis codes for its Medicare Advantage plan enrollees in order to increase its payments from Medicare. The United States contends that, for payment year 2015, Aetna operated a “chart review” program in which it paid diagnosis coders to review medical records and identify all medical conditions that the charts supported. Aetna allegedly used the results of its chart reviews to identify instances where it could seek additional payments from Medicare while ignoring those same results when they indicated Aetna was overpaid. Read a story from Healthcare Dive and a Department of Justice press release.