Twenty Medicare Advantage (MA) organizations (12%) shown to have disproportionally high payments, were reportedly responsible for more than half of the $9.2 billion total risk-adjusted payments in the year 2017, according to analysis...Read More »
The ongoing VA efforts to modernize their electronic health record (EHR) system will likely cost between $1 billion and $2.6 billion more than originally estimated, according to an audit performed by the Veterans Affairs’ (VA)...Read More »
More than $3 million could be owed by Anthem, according to an Office of Inspector General (OIG) audit. Anthem reportedly submitted unsupported diagnosis codes for “123 of the 203 enrollee-years,” for seven high-risk groups....Read More »
