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The Centers for Medicare & Medicaid Services (CMS) announced that it is ramping up audits of all Medicare Advantage (MA) plans – which could possibly ...
On May 21, 2025, the Centers for Medicare and Medicaid Services (“CMS”) announced plans to substantially increase both the pace and the scale of ...
Health insurers are on alert after the Centers for Medicare & Medicaid Services announced May 22 that it is immediately ...
Last week, I was flipping through the newly filed financial documents of AdventHealth, and the numbers hit me like an ...
New rules ignite a surge in payer demand for data platforms that support RADV readiness, Stars forecasting, and member ...
On May 21, 2025, the Centers for Medicare & Medicaid Services (CMS) announced significant changes in its risk adjustment data ...
CMS promised to increase its auditing activity for Medicare Advantage plans to address concerns that insurers are overbilling ...
JP Morgan analyst Lisa Gill reiterated her optimistic view on UnitedHealth Group Inc. (NYSE:UNH) despite the recent issues, ...
CMS plans to increase its team of medical coders from 40 to about 2,000 by Sept. 1 as part of a significant expansion of its ...
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Humana, UnitedHealth, CVS Slide As CMS Targets Medicare Overpayments In ‘Aggressive’ Audit PlanShares of major U.S. healthcare firms came under pressure Wednesday following the Centers for Medicare and Medicaid Services’ ...
CMS will hire nearly 2,000 coders to conduct audits to confirm diagnoses used for payment are backed by medical records.
The Centers for Medicare and Medicaid Services will audit every Medicare Advantage plan, every year to root out improper ...
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