DEAR DR. ROACH: When I have appointments with my physicians (at our local, highly rated academic health system), they no longer do a physical exam. But in the after-visit note, there is a documented ...

Andrew S. Oseran, MD, MBA, MSc, hypothesizes that higher Medicare Advantage (MA) risk scores may result from either a more accurate capture of beneficiaries' comorbidities or inappropriate "upcoding" ...

High-intensity billing during "treat and release" emergency department stays rose significantly from 2006 to 2019, and was partially fueled by factors such as changes in case mix and service offering ...

Democrats are calling on GOP leaders to discard Medicaid cuts and instead address Medicare Advantage "upcoding" to tackle federal waste. In a letter to Senate Majority Leader John Thune and House ...

Vivian Ho ([email protected]), Rice University and Baylor College of Medicine, Houston, Texas. Sasathorn Tapaneeyakul, Rice University. Heidi Voelker Russell, University of Texas, Houston, Texas.