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

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

The Centers for Medicare & Medicaid Services (CMS) will expand its team of medical coders and increase the number of audits ...

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

Shares of Humana and other health insurers fell Thursday after the Centers for Medicare & Medicaid Services said it plans to ...

According to CMS Administrator Dr. Mehmet Oz, the audits will ensure that Medicare Advantage plans are accurately billing the ...

The Trump administration plans to expand government audits of private Medicare health plans, adding more scrutiny to an ...

CMS expands Medicare Advantage audits to tackle overbilling, recover funds, and boost oversight with advanced tech and ...