The Hill

AARP endorses bill to prevent upcoding in Medicare Advantage

The senior interest group is putting its backing behind bipartisan legislation aimed at preventing the practice of upcoding in Medicare Advantage, when healthcare providers bill for inaccurate codes ...
Healthcare Dive

HHS watchdog accuses CVS Medicare Advantage plan of upcoding

A Medicare Advantage plan run by CVS inflated diagnoses for its members between 2018 and 2019, resulting in almost $7 million in estimated overpayments, according to a new audit by the HHS Office of ...
STAT

Upcoding: one reason Medicare Advantage companies pay clinicians to make home health checkups

At the start of 2023, an estimated 2.5 million Americans age 65 and older began using Medicare Advantage programs. Some made this choice in response to aggressive marketing campaigns. This brings the ...
The American Journal of Managed Care

Further Research Into Medicare Advantage Upcoding, Documentation Accuracy Needed

Andrew S. Oseran, MD, MBA, MSc, hypothesizes that higher Medicare Advantage (MA) risk scores may result from either a more accurate capture of beneficiaries' comorbidities or inappropriate "upcoding" ...