The Centers for Medicare & Medicaid Services (CMS) announced that it is ramping up audits of all Medicare Advantage (MA) plans – which could possibly ...

A wide-ranging bill passed by the House of Representatives and currently being debated in the Senate could reshape key ...

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

The Trump administration issued a warning to state governments on Tuesday, declaring its intent to significantly increase ...

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 ...

Last week, I was flipping through the newly filed financial documents of AdventHealth, and the numbers hit me like an ...

Using AI tools, Medicare Advantage plans can create audit-ready operations and help ensure positive outcomes from risk adjustment validation. The traditional risk adjustment process involves ...

The Centers for Medicare & Medicaid Services will ... the agency announced Wednesday. The off-site audits are part of an initiative to curb excessive use of antipsychotic drugs in the nation ...