ICD10monitor September 13, 2023
How many of you know that Medicare Advantage (MA) plans is a synonym of Managed Care Organizations (MCOs)? I’m talking about an analogy between Medicare and Medicaid.
I’m sure many of you made the connection right away, but it took me a minute. What is important to note is that MA plans and MCOs can act as Recovery Audit Contractors (RACs), Unified Program Integrity Contractors (UPICs), Targeted Probe-and-Educate (TPE), or whatever acronym you want to create, like the federal government so often does.
More people are choosing MA plans as a private insurance alternative to traditional Medicare. Similarly, on the state Medicaid front, Medicaid recipients are being forced to accept MCOs instead of traditional Medicaid. In the public sector, it...
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