Policy & Compliance Medicare Advantage Audits Estimate More Than $202 Million In Humana, UnitedHealthcare Overpayments

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Key Takeaways Federal audits estimate that three Medicare Advantage contracts operated by Humana and UnitedHealthcare received more than $202 million in overpayments tied to diagnosis codes unsupported by beneficiaries’ medical records in 2020 and 2021. The Department of Health and Human Services (HHS) Office of Inspector General (OIG) examined selected high-risk diagnosis codes submitted by […]

Key Takeaways Federal audits estimate that three Medicare Advantage contracts operated by Humana and UnitedHealthcare received more than $202 million in overpayments tied to diagnosis codes unsupported by beneficiaries’ medical records in 2020 and 2021.  The Department of Health and Human Services (HHS) Office of Inspector General (OIG) examined selected high-risk diagnosis codes submitted by […]

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