Overbilling and upcoding by hospitals cost Medicare $1 billion

Jul 2020
Emily Paffhausen

If 85% of hospital bills for Medicare have upcharging errors, imagine how many upcharges are on your plan’s hospital bills. Medxoom can help prevent upcharging errors with our pre-service comparison shopping feature.

The Office of Inspector General (OIG) recently released a report revealing hospitals have been overbilling and upcoding Medicare patients. OIG estimates this resulted in a $1B overpayment for fiscal years 2016 and 2017. CMS agreed with OIG’s findings and stated “CMS has taken action to prevent improper Medicare payments by educating health care providers on proper billing.”

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