OIG Study Raises Questions About Medicare Advantage SNF Denial Practices
The Office of Inspector General (OIG) recently released a month-long study report that revealed Medicare Advantage plans denied 12% of requests for admission to a skilled nursing facility (SNF). 95% of those denials were overturned on appeal, which supports that the care was medically necessary. The OIG report confirmed what SNF Providers have known for years, that patient care is delayed or denied by the Medicare Advantage Organizations (MAOs). The OIG noted that denials of…
