You’d think it would be an easy matter to pass a bill that says ‘don’t let big insurers defraud Medicare out of billions’
But headlines appear stating that it is ‘cutting Medicare’, when it is in actuality cutting fraud in the Medicare Advantage program.
1/ The No ‘Upcode’ Act introduced in the Senate is long overdue and should be passed. CMS would be prevented from increasing MA payments based on health plans risk adjusted scores for MA Pts.—where the alleged up-coding occurs. Medicare Advantage legislation in Congress: 5 bills to know.