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Reprints
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.
1. FTC refunds customers for fraudulent health plans sold by Benefytt
2. Health systems consider dropping Medicare Advantage plans due to financial losses
3. UnitedHealth faces rising lawsuits following Change Healthcare cyberattack
4. MedPAC calls for 'major overhaul' of Medicare Advantage policies
5. Medicare to cover Novo Nordisk's weight-loss drug for heart patients