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Comment Re:Insurers couldn't do it without doctors (Score 1) 117

I want to emphasize that this is done without the doctors' knowledge. The Medicare Advantage insurers decide what to submit to Medicare. The doctors often do not know what the companies have submitted for reimbursement, and even if the doctors do know, their is nothing they can do about it.

Comment This has been going on for years (Score 4, Informative) 117

Medicare Advantage insurers have been doing this for years. It is known as upcoding. They list all medical conditions that patients have or had in the past whether doctors or treating them or not. MA companies get paid extra for every condition that a patient has, so they list everything they can to maximize profit. I am glad to see that more media outlets are covering this.

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