FRAUD WASTE & ABUSE
December 13, 2019
U.S. watchdog finds $6.7 billion in questionable Medicare payments to insurers
Department of Health and Human Services’s (HHS) Office of Inspector General (OIG) released a report detailing “diagnoses to patients’ files that were not supported by their medical record” within Medicare Advantage that amounted to $6.7 billion in 2017 alone. These so-called “upcharges” represent 7% of the $205 billion spend on Medicare Advantage, and reflect a […]
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