{"id":11660,"date":"2018-10-02T08:48:55","date_gmt":"2018-10-02T12:48:55","guid":{"rendered":"https:\/\/medicarereport.org\/?p=11660"},"modified":"2018-10-02T08:48:55","modified_gmt":"2018-10-02T12:48:55","slug":"fifty-six-percent-of-medicare-advantage-payers-inappropriately-denied-claims","status":"publish","type":"post","link":"https:\/\/medicarereport.org\/?p=11660","title":{"rendered":"Fifty-six percent of Medicare Advantage payers inappropriately denied claims"},"content":{"rendered":"<p><span style=\"color: #000000; font-family: Calibri;\">According to a report from the Office of inspector General (OIG), 56 percent of Medicare Advantage (MA) payers inappropriately denied claims from beneficiaries and providers to potentially profit from the capitated payment system. OIG found that the many payers provided insufficient reasons for denying member claims. <a href=\"https:\/\/healthpayerintelligence.com\/news\/oig-finds-profits-to-blame-for-denied-medicare-advantage-claims\">Read article here\u2026<\/a><\/span><\/p>\n<p><a href=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/03\/DHS-Office-of-Inspector-General.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-9962\" src=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/03\/DHS-Office-of-Inspector-General-300x74.jpg\" alt=\"\" width=\"300\" height=\"74\" srcset=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/03\/DHS-Office-of-Inspector-General-300x74.jpg 300w, https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/03\/DHS-Office-of-Inspector-General.jpg 623w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<pre>Notice: The link provided above connects readers to the full content of the posted article. The URL (internet address) for this link is valid on the posted date; medicarereport.org cannot guarantee the duration of the link\u2019s validity. Also, the opinions expressed in these postings are the viewpoints of the original source and are not explicitly endorsed by AMAC, Inc.; the AMAC Foundation, Inc.; or medicarereport.org.<\/pre>\n","protected":false},"excerpt":{"rendered":"<p>According to a report from the Office of inspector General (OIG), 56 percent of Medicare Advantage (MA) payers inappropriately denied<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[36,21,9],"tags":[],"class_list":["post-11660","post","type-post","status-publish","format-standard","hentry","category-dhs-oig","category-health-care-finance","category-medicare-advantage"],"_links":{"self":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/11660","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=11660"}],"version-history":[{"count":1,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/11660\/revisions"}],"predecessor-version":[{"id":11661,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/11660\/revisions\/11661"}],"wp:attachment":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=11660"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=11660"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=11660"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}