OIG: Centene subsidiary received estimated $5.1M in Medicare Advantage overpayments
(By Rylee Wilson for Becker’s Hospital Review ) SelectCare of Texas, a Centene subsidiary, received an estimated $5.1 million in
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DHS -Office of Inspector General
Feds ramp up Medicare Advantage scrutiny
(By Rylee Wilson for Becker’s Hospital Review ) The federal government is ramping up scrutiny of Medicare Advantage plans. In
Read MoreOIG: Aetna received estimated $25.5M in Medicare Advantage overpayments
(By Rylee Wilson for Becker’s Hospital Review ) Aetna received $632,070 in overpayments for Medicare Advantage claims from 2015 to
Read MoreVirginia paid $21.8M for care for Medicaid enrollees that had already died, OIG audit finds
(By Rylee Wilson for Becker’s Hospital Review ) Virginia made capitation payments for thousands of Medicaid enrollees after their deaths,
Read MoreMedicaid managed care organizations deny 1 in 8 prior authorization requests: OIG
(By Rylee Wilson for Becker’s Hospital Review ) HHS’ Office of Inspector General raised concerns about the rate of prior
Read MoreOIG: Medicare overpaid up to $888M for genetic tests
(By Rylee Wilson for Becker’s Hospital Review ) Medicare could have overpaid hundreds of millions for genetic testing from 2018
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
Read MoreMedicare improperly paid for $580M in psychotherapy services, OIG audit finds
(By Rylee Wilson for Becker’s Hospital Review ) Medicare improperly paid for over half a billion dollars in psychotherapy services,
Read MoreOIG: Cigna received $6.2M in Medicare Advantage overpayments
(By Rylee Wilson for Becker’s Hospital Review ) Cigna-HealthSpring Life & Health Insurance Company received an estimated $6.24 million in
Read MoreCMS needs to improve oversight of Medicare Part B drug payment calculations, OIG report finds
(By Jakob Emerson for Becker’s Hospital Review ) CMS needs better strategies to ensure proper oversight of Medicare Part B
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