Medicare - Health Care Compliance Brief

Medicare Advantage plans received billions from Medicare for home visits. The feds are skeptical

Fierce Healthcare

OCTOBER 24, 2024

Medicare Advantage (MA) insurers, namely industry titans UnitedHealth Group and Humana, could be using health risk assessments and chart reviews to inflate payments from Medicare through upcoding, | A federal watchdog is questioning whether UnitedHealthcare, Humana and other Medicare Advantage payers are either creating diagnoses out of thin air to (..)

Medicare Advantage plans received billions from Medicare for home visits. The feds are skeptical

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