Coding abuses and Medicare Advantage Payment

The U.S. Department of Health and Human Services Office of Inspector General’s new report found Medicare may have overpaid Medicare Advantage plans by millions for unsupported diagnosis codes.  Upcoding is a form of healthcare fraud where a provider inflates the complexity, severity, or cost of a service beyond what was actually delivered or documented in the patient’s medical record. Lindsey Copeland, writing for Medicare Rights Organization, reports on the federal agency’s report on coding abuses and Medicare Advantage overpayments. Read Ms. Copeland’s article here…

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