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Report calls out Medicare Advantage for lack of info on claims denials


Medicare Advantage plans are not required to identify when claims were denied, hindering fraud, waste and abuse investigations, according to a new report from the Department of Health and Human Services’ Office of Inspector General, Becker’s Payer Issues reports. Unlike fee-for-service Medicare and Medicaid, Medicare Advantage plans do not have to indicate which claims are denied in encounter records.

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