Feds ramp up Medicare Advantage scrutiny
(By Rylee Wilson for Becker’s Hospital Review) The federal government is ramping up scrutiny of Medicare Advantage plans. In October,
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DHS -OIG
4 recent Medicare Advantage overpayment cases
(By Rylee Wilson for Becker’s Hospital Review) The Cigna Group will pay over $170 million to settle allegations of Medicare
Read MoreOIG: Aetna received estimated $25.5M in Medicare Advantage overpayments
(By Rylee Wilson for Becker’s Hospital Review) Aetna received $632,070 in overpayments for Medicare Advantage claims from 2015 to 2016,
Read MoreVirginia paid $21.8M for care for Medicaid enrollees that had already died, OIG audit finds
(By Rylee Wilson for Becker’s Hospital Review) Virginia made capitation payments for thousands of Medicaid enrollees after their deaths, an
Read More5 Medicare Advantage plans audited for upcoding in 2023
(By Rylee Wilson for Becker’s Hospital Review) Audits from HHS’ Office of Inspector General published in the first half of
Read MoreMedicaid managed care organizations deny 1 in 8 prior authorization requests: OIG
(By Rylee Wilson for Becker’s Hospital Review) HHS’ Office of Inspector General raised concerns about the rate of prior authorization
Read MoreOIG: Medicare overpaid up to $888M for genetic tests
(By Rylee Wilson for Becker’s Hospital Review) Medicare could have overpaid hundreds of millions for genetic testing from 2018 to
Read More6 Medicare Advantage plans audited for upcoding in the last six months
(By Rylee Wilson for Becker’s Hospital Review) Audits published in the last six months found almost $32 million in overpayments
Read MoreMedicare improperly paid for $580M in psychotherapy services, OIG audit finds
(By Rylee Wilson for Becker’s Hospital Review) Medicare improperly paid for over half a billion dollars in psychotherapy services, including
Read MoreOIG: Duplicate Medicare, VA payments cost Medicare $128M
(By Rylee Wilson for Becker’s Hospital Review) Medicare could have saved $128 million in duplicate claims payments with a better
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