Total overpayments to MA plans for incorrect coding in the U.S. 2008-2024
In 2022, Medicare overpayments to Medicare Advantage (MA) plans due to coding errors amounted to nearly 34 billion U.S. dollars, it is projected to reach 50 billion U.S. dollars in 2024. Healthcare providers are responsible for providing correct diagnosis codes for receiving MA payments from Medicare. Incorrect coding leads to incorrect billing and is the most common cause of overpayments to MA plans in the United States.