Industry Notes:
Oversight Agencies Examine MA Denials, Supplemental Benefits
Published on Fri Mar 17, 2023
The feds are looking at Medicare Advantage plans more and more closely. So indicate two recent reports on the organizations. Report #1: Medicare doesn’t require MA plans to use a claim denial indicator on denied claims, and that makes it a challenge to track such denials. So concludes an HHS Office of Inspector General report released on March 2. “Adjustment [...]