Agency Audit Finds Unsupported Acute Stroke Diagnoses Led to an Estimated $462 Million in Medicare Advantage Overpayments
June 1, 2026 | |
Agency Audit Finds Unsupported Acute Stroke Diagnoses Led to an Estimated $462 Million in Medicare Advantage Overpayments
The Department of Health and Human Services (HHS) Office of the Inspector General (OIG) conducted an audit examining whether Medicare Advantage (MA) organizations complied with federal requirements when submitting certain acute stroke diagnosis codes to the Centers for Medicare & Medicaid Services (CMS) for use in the Medicare Advantage risk adjustment program. Under this program, CMS adjusts payments to MA… (Eisen, June 1, 2026) #Medicare Advantage
