Becker's Healthcare February 20, 2024
MediGold, the Medicare Advantage subsidiary of Livonia, Mich.-based Trinity Health, received an estimated $3.7 million in net Medicare Advantage overpayments in 2017 and 2018, according to an audit from HHS’ Office of Inspector General published Feb. 16.
The agency sampled 210 unique enrollee-years with high-risk diagnosis codes and found $469,907 in net overpayments. The OIG used the sample to reach the $3.7 million estimate.
The agency recommended MediGold repay $2.2 million. The agency did not request the full estimated $3.7 million because of CMS guidance that prevents the federal government from collecting extrapolated overpayments before contract year 2018.
MediGold...
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