The agency quietly released a memo updating MA plans on how it’s approaching risk adjustment data validation audits after a ...
CMS says Medicare Advantage overpayment recoveries will begin soon, prioritizing audits from 2018 to 2024 and expanding medical coder support.
On July 15, 2025, the Centers for Medicare & Medicaid Services (CMS) released an Audit and Enforcement Report summarizing its annual Medicare Advantage (Part C) and Prescription Drug (Part D) program ...
Add Yahoo as a preferred source to see more of our stories on Google. Mehmet Oz attends his confirmation hearing with the Senate Finance Committee in the Dirksen Senate Office Building on March 14, ...
CMS’s latest announcement comes amid increased federal scrutiny of the MA Program, as its size and cost to federal taxpayers have increased over time. By one estimate, as of 2023, the MA Program ...
Beginning immediately, the Centers for Medicare and Medicaid Services is auditing all eligible Medicare Advantage contracts in what the agency is calling a significant expansion of its efforts. The ...
Increased oversight seems set to focus most intensely on risk-adjustment data validation (RADV), which confirms medical records support diagnoses used for patients. Noting in its recent announcement ...
CMS’ Office of E-Health Standards and Services has announced that between 5 percent and 10 percent of eligible professionals attesting for meaningful use will be selected to undergo an audit before ...
Providers should prepare for the fallout following a recent CMS announcement that it will take a more aggressive approach to auditing Medicare Advantage plans. The Centers for Medicare & Medicaid ...
After billions in Medicaid money was stolen by fraudsters in Minnesota, all eyes are on New York — where spending on health ...
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