OIG Finds Inappropriate Service Denials by MAOs

An Office of Inspector General (OIG)┬áreport┬ádetermined that Medicare Advantage Organizations (MAOs) sometimes delayed or denied Medicare Advantage beneficiaries’ access to services, even though the requests met Medicare coverage rules. MAOs also denied payments to providers for some services that met both Medicare coverage rules and MAO billing rules. In the report,┬áSome Medicare Advantage Organization Denials…