The Government Accountability Office (GAO) has released a report on the results of an audit that looked at funds being distributed to private Medicare beneficiaries compared to public, fee-for-service payments. The GAO suggests the Centers for Medicare and Medicaid Services (CMS) did not accurately calculate payment rates for the two categories, allowing private Medicare Advantage (MA) plans to code for higher payments than traditional Medicare. Estimates are as high as $5.1 billion in overpayments between 2010 and 2012 to MA. GAO is urging CMS to implement better beneficiary questioning techniques to help stop the problem.
Filed under: Health Care, Medicare | Leave a Comment »





