Becker's Healthcare December 4, 2023
OIG audits found over $213 million in estimated Medicare Advantage overpayments in 2023.
According to the agency’s fall semiannual report, the agency issued 65 audits with an expected $82.7 million in recoveries between April and September 2023.
The agency did not request the full estimated repayment amounts from the MA plans it audited in 2023 because of a CMS ruling that prevents the agency from extrapolating payments before contract year 2018.
Here are 10 plans audited by CMS in 2023:
- Geisinger Health Plan
Received an estimated $6.5 million in overpayments in 2016 and 2017.
- MCS Advantage
Received an estimated $6.2 million in net overpayments in 2016 and 2017.
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