This image is excerpted from a U.S. GAO report:

www.gao.gov/products/GAO-16-76

MEDICARE ADVANTAGE: Fundamental Improvements Needed in CMS's Effort to Recover Substantial Amounts of Improper Payments

Notes: Unsupported diagnoses represent CMS hierarchical condition categories that were not validated by medical records during contract-level RADV audits. CMS defines coding intensity as the average change in the disease component of the contract's risk scores for all available years.

pluralistic.net/2024/10/02/upcoded-to-death/#thanks-obama

A crowded field hospital. In the foreground are massed bundles of vivid green US $100 bills; atop them stands a robed skeleton, drinking from a blood filled goblet; blood stains the skeleton's robe. In the background is a row of giant mainframes.

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