Medicare Advantage plans now cover more than 1/3 of all Medicare beneficiaries and that number is on track to rise to 50% by 2021.
But a new report from the Inspector General found that Medicare Advantage plans have "widespread and persistent problems related to denials of care and payment."
Also, Medicare Advantage plans often have onerous and unnecessary prior authorization requirements that traditional Medicare does not. Medicare Advantage reimbursement also tends to be well below what traditional Medicare pays.
Relatively few people appeal denial of Medicare Advantage claims, leaving insurers free to avoid payment. But nearly 75% of appeals are successful with Medicare Advantage plans!
You need a billing company who is working to get you paid every cent you are owed! Contact us to see how Medicare Advantage plans are impacting your payer mix and your bottom line.
Learn more about the Inspector General's Medicare Advantage Report:
https://www.nytimes.com/2018/10/13/us/politics/medicare-claims-private-plans.html