OIG: Chart Reviews Fueled ‘Disproportionate’ MA Pay

The HHS Office of Inspector General in prior reports has raised concerns about Medicare Advantage organizations’ heavy reliance on chart reviews and health risk assessments (HRAs) to achieve higher risk adjusted payments. Now, a new OIG report identifies multiple MAOs that have used those sources to a greater extent than their peers, leading the federal watchdog agency to suggest that CMS monitor companies with a disproportionate share of the risk-adjusted payments.

© 2021 MMIT

Carina Belles

Carina is a reporter at AIS, specializing in public sector data research, trend analysis and infographics. She holds a Bachelor of Science in Journalism from Ohio University, joining AIS shortly after graduating in 2014.

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