Differential coding by Medicare Advantage plans appeared to have pushed their risk scores higher than traditional Medicare's scores. Those greater risk scores led to $33 billion in extra revenue for ...
A handful of payers were flagged throughout 2021 by HHS’ Office of the Inspector General for coding or reimbursement errors. 1. Humana: HHS found April 20 that Humana received $197.7 million in ...
Intensive coding by Medicare Advantage (MA) plans raised enrollees' risk scores and may have allowed companies to pocket tens of billions of dollars more than if traditional Medicare had covered the ...
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