CMS Takes Aim at Upcoding: Ending “Unlinked” Chart Reviews in Medicare Advantage
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The Centers for Medicare and Medicaid Services (CMS) is taking steps to address issues with Medicare Advantage, with one action being the end of "unlinked" chart reviews. This move is seen as an effort to curb fraud and potentially excessive billing practices, also known as upcoding. The motivation behind these actions is unclear, with some outlets suggesting a desire to curb Medicare Advantage more broadly.