Becker's Healthcare November 21, 2022
Newly released audits show Medicare Advantage plans overbilled the federal government by millions between 2011 and 2013, with some plans overbilling an average of more than $1,000 per patient per year, Kaiser Health News reported Nov. 21.
CMS released the decade-old audits in response to a lawsuit from the news outlet.
The 90 plan audits uncovered $12 million in net overpayments for the 18,090 patients sampled. CMS has said it plans to use these error rates to recoup an estimated $650 million in repayments, KHN reported.
The agency has yet to recover these payments several years after the original audits. CMS said it would release a final rule to extrapolate repayment amounts from the audit, but moved...
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