In a recent audit, the Centers for Medicare & Medicaid Services (“CMS”) uncovered non-compliance by Aetna Health Inc. of Texas (“Aetna”) in calculating key payment information for air ambulance ...
Medical records provided by the insurer didn’t support certain diagnosis codes, resulting in overpayments, according to an audit from the HHS’ Office of the Inspector General. Medicare Advantage plans ...
A new federal audit estimates that Aetna may have received at least $25.5 million in overpayments from Medicare Advantage in 2015 and 2016. The Department of Health and Human Services Office of ...
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