American Hospital Association October 24, 2024

A report released Oct. 24 by the Office of Inspector General found that insurers received an estimated $7.5 billion in Medicare Advantage risk-adjustments for 2023 through health risk assessments and related medical record reviews. OIG said the lack of any other follow-up visits, procedures, tests or supplies for these diagnoses in the MA encounter data raises concerns that either the...

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