Medicare Advantage

Medicare Advantage Upcoding, Overpayments Require Attention

Private Medicare Advantage (MA) insurers have long received overpayments from Medicare due to their “upcoding,” which makes MA enrollees appear less healthy than they are — and a recent court decision could worsen the problem. As policymakers look to strengthen Medicare, eliminating upcoding should be high on their agenda. While two-thirds of Medicare enrollees participate in the […]