Noteworthy News

Feds Still Overpaying Medicare Advantage Plans

As a result of hospital coding practices, Medicare is still overpaying Medicare Advantage plans.

Or so says the U.S. Government Accountability Office (GAO).

According to the new GAO report Substantial Express Payments Underscore Need for CMS to Improve Accuracy of Risk Score Adjustments, the impact of coding differences from 2010 through 2012 was greater than Medicare’s adjustment for such coding and as a result, Medicare overpaid Medicare Advantage plans at least $3.2 billion during that period.  The GAO recommends a number of steps to help Medicare improve its risk score adjusting practices.

Find a summary of the GAO report and download the entire report heregaotitle, on the GAO web site.

Leave a Reply

  • *

Search for
Noteworthy News

Related posts

    [exec] boposts_show(); [/exec]