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Medicare Advantage data is missing key info needed for oversight, OIG finds
Modern Healthcare: Medicare Advantage insurers seldom include identification numbers for clinicians who order certain medical services in the patient records they submit to CMS, the HHS Office of Inspector General found.
According to a report issued Wednesday, 60% of 2018 Medicare Advantage encounter records for durable medical equipment, prosthetics, orthotics and supplies, clinical laboratory, imaging, and home health services were missing a national provider identifier for an ordering clinician.
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