Medicare Advantage Growth Could Spell Problems for Providers

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Medicare Advantage (MA) business continues to experience significant growth, increasing demand for MA plans. Despite the uncertainty surrounding health care and proposed budget cuts to the program, Medicare Advantage enrollment continues to climb and this trend is expected to continue throughout 2017 and beyond. As of February 1, 2017, total Medicare Advantage membership stood at 19,593,341, with a net gain of 1,389,665 members, year-over-year.

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Medical Coding Risk Adjustment and Physicians’ Pay by Nitin Thakor, President and CEO, GeBBS Healthcare Solutions

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A recent article in Neurology Today covered the story of how a federal lawsuit is claiming that UnitedHealth Group (UHG), the nation's largest Medicare Advantage insurer, is inappropriately coding medical…

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