Menu2/23/18:
CMS’ Medicare Advantage (MA) represents a lucrative opportunity for many healthcare companies. It’s also a growing opportunity as Medicare beneficiaries increasingly choose it over traditional Medicare. So, when CMS estimates that it overpaid MA organizations about $1.4 billion in 2013 (about 9.5% of its total payments), it’s not surprising that the DOJ has aimed its attention that the MA program for overbilling. An article by Les Masterson on healthcaredive.com digs into what DOJ is doing – and what insurers should be doing. The article is from last year but it is still a worthwhile read for healthcare compliance pros now.
