{"id":2840,"date":"2016-05-10T08:59:56","date_gmt":"2016-05-10T12:59:56","guid":{"rendered":"https:\/\/medicarereport.org\/?p=2840"},"modified":"2016-05-10T08:59:56","modified_gmt":"2016-05-10T12:59:56","slug":"upcoding-has-cost-medicare-70-billion","status":"publish","type":"post","link":"https:\/\/medicarereport.org\/?p=2840","title":{"rendered":"\u201cUpcoding\u201d Has Cost Medicare $70 Billion"},"content":{"rendered":"<p>On Monday, an audit by the Government Accountability Office (GAO) reported Medicare Advantage plans have overbilled the government by $70 billion from 2008 through 2013. The plans received inflated fees by overstating patients\u2019 health risks in the billing formula called a \u201crisk score\u201d which pays higher rates for sicker patients and less for people in good health, in medical circles this practice is known as \u201cupcoding\u201d. <a href=\"http:\/\/www.npr.org\/sections\/health-shots\/2016\/05\/09\/477388989\/gao-audit-feds-failed-to-rein-in-medicare-advantage-overbilling?utm_campaign=KHN%3A+First+Edition&amp;utm_source=hs_email&amp;utm_medium=email&amp;utm_content=29416075&amp;_hsenc=p2ANqtz-8WKakzo8djfaP512H1XoqlZRIYglHUqJTC5xX_0gIl0y3kgs1SDBr5hbDlU3EVrDY6rPmuLXNVHTghVBo-olP9KEmjpA&amp;_hsmi=29416075\" target=\"_blank\">Read article here\u2026\u2026<\/a><\/p>\n<pre><strong>Notice<\/strong>: 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>On Monday, an audit by the Government Accountability Office (GAO) reported Medicare Advantage plans have overbilled the government by $70<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9,4],"tags":[],"class_list":["post-2840","post","type-post","status-publish","format-standard","hentry","category-medicare-advantage","category-medicare-fraud"],"_links":{"self":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/2840","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\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2840"}],"version-history":[{"count":1,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/2840\/revisions"}],"predecessor-version":[{"id":2841,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/2840\/revisions\/2841"}],"wp:attachment":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2840"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2840"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2840"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}