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CMS To Intensify Medicare Advantage Audits, Could Trigger ‘Untenable’ Home Health Rate Cuts
The Centers for Medicare & Medicaid Services (CMS) announced that it is ramping up audits of all Medicare Advantage (MA) plans – which could possibly ...
JD Supra4d
CMS Announces Significant Changes to RADV Auditing Efforts: Considerations and Next Steps for the Medicare Advantage Industry
On May 21, 2025, the Centers for Medicare and Medicaid Services (“CMS”) announced plans to substantially increase both the pace and the scale of ...
Medicare Advantage plans come under fire from DOGE
Health insurers are on alert after the Centers for Medicare & Medicaid Services announced May 22 that it is immediately ...
STAT5d
Hospitals earn big profits, insurers face ramped up Medicare Advantage audits
Last week, I was flipping through the newly filed financial documents of AdventHealth, and the numbers hit me like an ...
JD Supra5d
CMS to Immediately Begin Auditing Medicare Advantage Plans in Significant Expansion of Enforcement Efforts
On May 21, 2025, the Centers for Medicare and Medicaid Services (“CMS”) announced a significant expansion of its auditing ...
MyChesCo on MSN5d
Medicare Shake-Up: New Audits Target Billions in Overpayments
The Centers for Medicare & Medicaid Services (CMS) has unveiled a significant expansion of its Medicare Advantage (MA) ...