OIG Audits on Medicare Advantage Plans Continue | Epstein Becker & Green jdsupra.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from jdsupra.com Daily Mail and Mail on Sunday newspapers.
Monday, April 26, 2021
On April 19, 2021, the Office of Inspector General’s (OIG) Office of Audit Services (OAS) released the results of an audit conducted on the accuracy of diagnosis codes submitted to CMS by Humana, Inc. for 2015 dates of service. Based on the audit results, the OIG recommended Humana return a whopping $197.7 million in alleged overpayments and enhance its policies and procedures to prevent, detect and correct noncompliance with Federal requirements for diagnosis codes that are used to calculate risk-adjusted payments.
Under the Medicare Advantage (MA) program, the Centers for Medicare & Medicaid Services (CMS) makes monthly capitated payments to MA organizations using a risk adjustment system that takes into consideration the health status of its beneficiaries. MA organizations communicate the health status of their beneficiaries to CMS through the submission of diagnosis codes.
A recent research study on the global License Management market presented by Zeal Insider offers a detailed analysis of key market players, market revenue, market segments, share, and geographic regions. It also offers several industry trends and predictions for upcoming Eight years. The report also puts light on the current COVID-19 pandemic situations on the
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Work on Saxonvale regeneration in Frome can begin after nearly £4M provided by Homes England
Planning permission for the town centre was granted in January
13:52, 21 APR 2021
Artist s impression of how the Saxonvale development will look (Image: Nash Partnership)
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The first stage of construction work on the Saxonvale site in Frome can begin after nearly £4M in government grants were confirmed.