Individuals who have experienced a recent fall or are having difficulty with balance may receive a fall risk assessment from a healthcare professional. Medicare covers these assessments during ...

Medicare covers fall risk assessments during routine preventive visits for beneficiaries enrolled in Part B. If you have a history of recent falls or issues with walking and balance, you may be a ...

Medicare Advantage (MA) insurers, namely industry titans UnitedHealth Group and Humana, could be using health risk assessments and chart reviews to inflate payments from Medicare through upcoding, ...

Paul D. Jacobs ([email protected]), Agency for Healthcare Research and Quality, Rockville, Maryland. There is widespread agreement that taxpayers pay more when Medicare beneficiaries are enrolled in ...

Some limits on how the assessments are used for adding new diagnosis codes might be justified to ensure Medicare Advantage plans aren’t overpaid, researchers wrote. Under MA, insurers contract with ...

Bright Health Group has entered into an agreement with the Centers for Medicare and Medicaid Services to pay down a $380 million shortfall the company owes through the Affordable Care Act's ...

Medicare may use questionnaires at various times to collect information. One of the main questionnaires is the Medicare Current Beneficiary Survey (MCBS). Medicare may ask an individual to fill in a ...

UnitedHealth Group stood out from its peers in a new federal watchdog report that questions how Medicare Advantage insurers have used diagnosis data to boost payments from the government program for ...