Fierce Healthcare January 19, 2018
A new report from the HHS OIG points out that CMS hasn’t established performance measures that ensure Medicare Advantage plans are submitting records with complete and valid encounter data.
Though collecting encounter data can aid the federal government’s oversight of Medicare Advantage plans, more must be done to ensure the accuracy of those data, according to the HHS Office of Inspector General.
The OIG details its concerns in a new report, which said that 28% of MA encounter records the agency reviewed from the first quarter of 2014 had at least one potential error. However, because the Centers for Medicare & Medicaid Services reported correcting the majority of those errors, just 5% of the records in the OIG’s review would...
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