{"id":26065,"date":"2026-06-05T08:41:06","date_gmt":"2026-06-05T12:41:06","guid":{"rendered":"https:\/\/medicarereport.org\/?p=26065"},"modified":"2026-06-05T08:41:09","modified_gmt":"2026-06-05T12:41:09","slug":"coding-abuses-and-medicare-advantage-payment","status":"publish","type":"post","link":"https:\/\/medicarereport.org\/?p=26065","title":{"rendered":"Coding abuses and Medicare Advantage Payment"},"content":{"rendered":"\n<p>The U.S. Department of Health and Human Services Office of Inspector General\u2019s new report found Medicare may have overpaid Medicare Advantage plans by millions for unsupported diagnosis codes. \u00a0Upcoding 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\u2019s medical record. Lindsey Copeland, writing for Medicare Rights Organization, reports on the federal agency\u2019s report on coding abuses and Medicare Advantage overpayments. Read Ms. Copeland\u2019s article <a href=\"https:\/\/www.medicarerights.org\/medicare-watch\/2026\/06\/04\/federal-watchdog-agency-finds-medicare-advantage-overpayments-for-unsupported-diagnoses\" data-type=\"link\" data-id=\"https:\/\/www.medicarerights.org\/medicare-watch\/2026\/06\/04\/federal-watchdog-agency-finds-medicare-advantage-overpayments-for-unsupported-diagnoses\">here\u2026<\/a><\/p>\n\n\n\n<p class=\"has-small-font-size\"><strong>Notice:<\/strong>\u00a0The 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.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The U.S. Department of Health and Human Services Office of Inspector General\u2019s new report found Medicare may have overpaid Medicare<\/p>\n","protected":false},"author":4,"featured_media":8242,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[32,36,21,53,9],"tags":[80,2084,238,61,62,309],"class_list":["post-26065","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cms","category-dhs-oig","category-health-care-finance","category-hhs","category-medicare-advantage","tag-cms","tag-coding-abuses","tag-healthcare-finance","tag-medicare","tag-medicare-advantage","tag-upcoding"],"_links":{"self":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/26065","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=26065"}],"version-history":[{"count":1,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/26065\/revisions"}],"predecessor-version":[{"id":26066,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/26065\/revisions\/26066"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/media\/8242"}],"wp:attachment":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26065"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=26065"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=26065"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}