Uncovered audits show rampant overpayments in Medicare Advantage
Government payments to Medicare Advantage plans are riddled with overcharges and errors, newly uncovered audits show.
A sampling of billings in 2011-2013 showed
The
Medicare Advantage is an alternative to traditional Medicare that is run by private insurance companies.
Seventy-one of the 90 audits reviewed by KHN showed overpayments and they topped
Overpayments are flagged when patient records don’t adequately reflect services the government paid for, or if a patient’s condition doesn’t appear to be as severe as the treatment suggests.
Audit procedures around Medicare Advantage, which is growing in popularity, have been secretive so KHN sued to obtain the results.
“At the end of the day, it’s taxpayer dollars that were spent,”
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