External Audit Supports Most UnitedHealth HouseCalls Diagnoses

An external audit of UnitedHealth senior home visits determined that almost 97% of diagnoses recorded during the visits were supported by patients’ medical records.

Audit Results

The review examined diagnoses generated through the HouseCalls program. UnitedHealth stated that the findings showed the large majority of those diagnoses aligned with existing medical documentation.

Prior Accusations

HouseCalls has faced accusations of producing unsupported diagnoses to increase UnitedHealth Medicare reimbursement amounts. The audit addressed those claims by checking diagnoses against patient records.

Source Statement

UnitedHealth reported the audit outcome directly. The results appear in coverage from Healthcare Dive at https://www.healthcaredive.com/news/unitedhealth-housecalls-audit-results-home-visits-medicare-advantage/824596/.