Becker's Healthcare March 20, 2023
Rylee Wilson

Medicare Advantage plans should be aware of fraudsters turning their efforts to private plans, HHS’ Inspector General Christi Grimm said.

Ms. Grimm spoke March 15 at the Rise Conference, a gathering of Medicare Advantage professionals.

In her remarks, Ms. Grimm said targeted fraud can quickly jump from fee-for-service Medicare to private Medicare Advantage plans.

In one case, a fraudulent medical brace company was prevented from billing Medicare Part B by HHS’ Office of Inspector General’s enforcement. The company then shifted its efforts to billing Medicare Advantage plans.

“We know from experience that...

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Topics: Conferences / Podcast, Govt Agencies, Insurance, Medicare Advantage, OIG, Provider, Trends
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