The OIG recommends more-targeted billing reviews by the CMS to identify instances of upcoding, focusing in particular on highest-severity claims. (Photo: Shutterstock)
Here's another important reminder for consumers to double-check their EOB and employers to keep a close eye on their claims data: A report out from the HHS Office of Inspector General examining Medicare reimbursements found that hospitals billing at the highest-severity level (and thus higher billing) increased by 20% between 2014 and 2019.
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Emily Payne
Emily Payne is director, content analytics for ALM's Business & Finance Markets and former managing editor for BenefitsPRO. A Wisconsin native, she has spent the past decade writing and editing for various athletic and fitness publications. She holds an English degree and Business certificate from the University of Wisconsin.
