Medicare Advantage Enforcement is a focus area for the OIG this year. The OIG has already released four audits so far this year, and we have learned that the OIG audit can amount to a no good, very bad day for these Payors. In general, these audits provide insight into areas of OIG focus including: a) acute care codes b) codes that are diagnosed but not treated including or c) codes that are otherwise not supported by the record. We did the hard work to sort through these audits. Tune in for a concise update, quick tips, and lessons learned.

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