Becker's Healthcare August 27, 2024
CMS dropped a proposed regulation that would have required Medicare Advantage plans to return overpayments found during chart reviews over industry opposition, KFF reported Aug. 27.
In 2014, CMS proposed a rule that would require health plans reviewing patients’ medical records to identify potential overpayments and return them to CMS. CMS dropped the proposed rule later that year.
Records released from a 2022 deposition show CMS officials decided to abandon the rule over concern from insurers, KFF reported. The rule change is at the center of a civil fraud case against UnitedHealth Group that has been pending for more than a decade.
In records recently made public, CMS officials said they decided not to move ahead with...
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