The Medicare Payment Advisory Committee (MedPAC) sent its annual March report to Congress on Medicare fee-for-service (FFS) payment systems, Medicare Advantage (MA) and the Medicare prescription drug program (Part D). The report contains analysis of the COVID-19 pandemic's influence on Medicare spending and the subsequent sustainability...
The Office of Inspector General (OIG) for the U.S. Department of Health and Human Services (HHS) published a study on September 23 that found 20 Medicare Advantage companies generated a disproportionate share of federal overpayments by manipulating chart reviews and health risk assessments (HRA) to drive up reimbursement.
Total...
A report from the Department of Health and Human Services (HHS) inspector general's office analyzed Medicare Advantage (MA) encounter data from 2016, stemming from concerns that MA organizations use chart reviews to inaccurately inflate risk adjusted payments. The result was billions in additional payments.
The Office of Inspector...
