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

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 ...

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

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

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

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

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 ...

Since the Centers for Medicare & Medicaid Services (“CMS ... from several Targeted Probe and Educate (“TPE”) audit initiatives for July to September 2023. Although these TPE audits ...