Tag Archives: paid

OIG says $2.6B paid out under MA risk adjustment with scant encounter data

Dive Brief: Medicare Advantage health plans billed the federal government $ 2.6 billion in 2016 for more than 617,000 patients whose risk-adjusted medical conditions were diagnosed without their physician present, a new report from the HHS Office of the Inspector General concludes. Further, the OIG report showed that 80% of those health risk assessments were… Read More »