On May 21, 2025, the Centers for Medicare and Medicaid Services (“CMS”) announced plans to substantially increase both the pace and the scale of ...

On May 21, 2025, the Centers for Medicare & Medicaid Services (CMS) announced significant changes in its risk adjustment data ...

New rules ignite a surge in payer demand for data platforms that support RADV readiness, Stars forecasting, and member ...

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

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

JP Morgan analyst Lisa Gill reiterated her optimistic view on UnitedHealth Group Inc. (NYSE:UNH) despite the recent issues, ...

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

The Centers for Medicare and Medicaid Services will audit every Medicare Advantage plan, every year to root out improper ...

New rules ignite a surge in payer demand for data platforms that support RADV readiness, Stars forecasting, and member retention analytics. WASHINGTON, DC / ACCESS Newswire / May 23, 2025 / In the ...