Medicare Audits Initiative

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CMS expands audits

CMS expands audits to crack down on Medicare Advantage overpayments

The agency said it would increase the number of MA plan audits and complete its backlog of reviews by investing in technology and growing its medical coding workforce.

Fierce Healthcare · 2d

CMS deploying more coders, 'advanced systems' to audit all Medicare Advantage contracts

The Centers for Medicare & Medicaid Services (CMS) will expand its team of medical coders and increase the number of audits conducted against Medicare Advantage (MA) plans, the agency announced | Mehmet Oz,

STAT · 3d

Trump, building on Biden policy, to speed up audits of Medicare Advantage insurers

CMS will hire nearly 2,000 coders to conduct audits to confirm diagnoses used for payment are backed by medical records.

2don MSN

Trump Administration to Tackle Billions in Medicare Overpayments

Medicare Advantage plans are based on an enrollee's diagnosis; those with more serious or chronic conditions receive higher ...

Wall Street Journal2mon

Medicare Agency to End Some Demonstration Projects, Cancel $2 Generic Drug Initiative

The agency will also make changes to other projects, including dropping a planned initiative that would offer certain generic drugs to Medicare enrollees for $2. CMS said its planned terminations ...

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CMS expands audits

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