top of page
  • Writer's pictureShelly Asbury

OIG Audit of Medicare Advantage High-Risk Diagnosis Codes

Miscoded diagnoses may cause CMS to pay Medicare Advantage (MA) organizations improper amounts. To emphasize the need for accurate coding to avoid increased risk-adjusted payments, the OIG is conducting a nationwide audit to determine whether these diagnosis codes, as submitted by MA organizations to CMS for use in CMS's risk-adjustment program, complied with Federal requirements. Read more about this new work plan item.

4 views0 comments

Recent Posts

See All

Short-Term Insurance Plans

Short-term health insurance plans are designed to cover individuals for a limited period. These plans do not have an open enrollment period like ACA plans. You can enroll in a short-term health insura


bottom of page