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
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Upcoding
Insurers brought in $50B through Medicare Advantage coding: WSJ
(By Rylee Wilson for Becker’s Hospital Review) Medicare Advantage plans received $50 billion in payments between 2018 and 2021 for
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 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 MoreSenators float ‘no upcode’ act to crack down on Medicare Advantage overpayments
(By Rylee Wilson for Becker’s Hospital Review) Two Senators are introducing legislation aimed at reducing Medicare Advantage overpayments. Sen. Bill
Read MoreInsurers that face the largest potential Medicare Advantage payment clawbacks
(By Jakob Emerson for Becker’s Hospital Review) The nation’s largest insurers are gearing up for upcoming changes to Medicare Advantage
Read More9 Medicare Advantage plans audited for upcoding by OIG in the last 6 months
(By Rylee Wilson for Becker’s Hospital Review) The HHS’ Inspector General’s Office released audits of nine Medicare Advantage plans over
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