“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.”

60 Plus is encouraging Medicare Advantage patients to be alert.

More than half of all seniors are eligible to enroll in a Medicare Advantage plan, but new research and reports have shown that some plan administrators are overcharging people for services. Most recently, Aetna, owned by CVS Health, was found to have received an estimated $25.5 million between 2015 and 2016 alone.

“Researchers and regulators have raised red flags about government overpayments to MA plans, arguing associated costs could jeopardize the entire Medicare program.

A report by the USC Schaeffer Center for Health Policy and Economics in June found overpayments could reach more than $75 billion this year as a result of favorable selection of healthier beneficiaries, coding intensity and quality bonuses.”

Learn more here and hold your insurance company accountable: Aetna may have received $25.5M in MA overpayments for 2015 and 2016, audit finds