ICD10monitor January 23, 2023
CMS is eliciting comments on MA plans abusing basic Medicare benefits.
EDITOR’S NOTE: Patients and healthcare providers can present their personal experiences, devoid of personal health information (PHI), on CMS-4201-P. The comment period extends to Feb. 13, 2023. Comments may be made here.
The Centers for Medicare & Medicaid Services (CMS) created Medicare Advantage (MA) plans to unload Medicare’s administrative costs and potentially encourage cost-effective delivery of care. The vast majority of U.S. government agencies run a deficit. How can MA plans produce billions in quarterly profits on government rates?
While always claiming to make determinations that don’t affect care decisions, MA plans do make determinations denying Medicare beneficiaries their basic care and “inappropriately interpret Medicare’s policy.” Such actions should...
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