HealthLeaders Media January 16, 2018
Officials with CMS agreed with some, but not all, of the OIG’s recommendations.
The Health and Human Services Office of Inspector General issued a report on Medicare Advantage this month, suggesting seven changes to the way officials ensure the accuracy and completeness of the program’s encounter data.
The report sampled more than 100 million Medicare Advantage cases from the first quarter of 2014 and found one or more potential errors in 28% of the encounter records. After correcting a problem with the data, however, officials with the Centers for Medicare and Medicaid Services say only 5% of the relevant records have potential errors.
Related: Only Half of Medicare Advantage Members Understand Their Plan
“Some of these errors may raise concerns...
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