Behavioral Health Business April 26, 2024
Chris Larson

A number of licensed clinical social workers (LCSWs) across the country are facing a mass clawback effort launched by UnitedHealth Group’s (NYSE: UNH) services division, Optum.

The company’s Medicare Advantage plans overpaid the LCSWs “due to an error within a claims payment system,” a representative of Optum Behavioral Health told Behavioral Health Business. Optum Recovery Services is seeking recovery of overpayments made for services provided in the last two years, from Jan. 1, 2022 to Feb. 24, 2024. It sent its first overpayment notices in December.

The National Association of Social Workers (NASW) has received over 400 calls from members seeking guidance on the matter. The overpayment, resultant clawback efforts, and other alleged missteps in rectifying the situation are putting...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: Insurance, Medicare Advantage, Mental Health, Provider
7 Medicare Advantage study findings to know
Florida Blue latest to sue over Medicare Advantage star ratings
MA Special Needs Beneficiaries More Likely to Receive Lower Quality Hospice Care
20 health systems dropping Medicare Advantage plans | 2025
Dismantling Rural Access: MA Plans terminate rural healthcare providers, force patients to drive further for care, and then retain higher payments intended to support local access to healthcare

Share This Article