Becker's Healthcare November 21, 2022
Rylee Wilson

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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Topics: CMS, Govt Agencies, Insurance, Medicare Advantage, Survey / Study, Trends
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