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OIG Focuses On Prevention In New Medicare Advantage Risk Adjustment Report
The Office of the Inspector General (OIG) continues to focus on Medicare Advantage (MA) risk adjustment payments, issuing a report this week detailing its audit of MA risk adjustment payments based on acute stroke diagnosis codes that do not have corroborating hospital records. OIG found that submissions for all 97 sampled enrollees were not supported in the enrollee’s medical records, estimating $462 million in potential net overpayments in 2021.

Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.




