Humana received $130.9M in Medicare Advantage overpayments: OIG
The HHS Office of Inspector General is recommending that Humana refund $130.9 million to the federal government after an audit found that the vast majority of high-risk diagnosis codes submitted by one of the insurer’s largest Medicare Advantage plans were unsupported by medical records. The Sept. 15 audit report is part of a long-running OIG […] The post Humana received $130.9M in Medicare Advantage overpayments: OIG appeared first on Becker's Payer Issues | Payer News .
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Humana — policy / regulatory changes. Via Becker's Payer Issues.
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[DRAFT — verify before any external use] Becker's Payer Issues reports on policy / regulatory changes involving Humana: The HHS Office of Inspector General is recommending that Humana refund $130.9 million to the federal government after an audit found that the vast majority of high-risk diagnosis codes submitted by one of the insurer’s l…
Note: This is an early signal based on public reporting. Confirm against primary sources before drawing conclusions. Market dynamics may shift as additional information emerges.