2011, Medicaid and Payment Systems - Health Care Compliance Brief

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2011

Medicaid

Payment Systems

Government Watchdogs Attack Medicare Advantage for Denying Care and Overcharging

Kaiser Health News

JUNE 29, 2022

The watchdogs also recommended imposing limits on home-based “health assessments,” arguing these visits can artificially inflate payments to plans without offering patients appropriate care. Bliss said Medicare paid $2.6 billion in 2017 for diagnoses backed up only by the health assessments; she said 3.5

Medicare

Medicare Medicare Governance Overpayments

CMS Issues Long-Awaited Medicare Advantage RADV Final Rule

Healthcare Law Blog

FEBRUARY 1, 2023

On January 30, 2023 , the Centers for Medicare & Medicaid Services (“CMS”) released the long-delayed final rule on risk adjustment data validation (“RADV”) audits of Medicare Advantage (“MA”) organizations (the “Final Rule”). One thing that is certain, CMS can expect further challenges to its RADV audit methodology. See also Ratanasen v.

Medicare

Medicare Medicare Overpayments Overpayment

Government Watchdogs Attack Medicare Advantage for Denying Care and Overcharging

CMS Issues Long-Awaited Medicare Advantage RADV Final Rule

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