CMS Asks Medicare Advantage Plans to Relax Prior Authorizations

CMS has requested that Medicare Advantage organizations relax or waive prior authorizations due to the impact of the coronavirus Delta variant. “The ability of hospitals to transfer patients to appropriate…

Comments Off

August 25, 2021

General

Physician Practices Examine Risk Adjustment Coding in Wake of Federal Lawsuits

A federal lawsuit claims that UnitedHealth Group, the largest Medicare Advantage insurer in the country, is coding medical claims inappropriately for monetary gain. But while the lawsuit doesn't involve physician…

Comments Off

September 27, 2017