News

Healthcare Dive14h
CMS expands audits to crack down on Medicare Advantage overpayments
The agency said it would increase the number of MA plan audits and complete its backlog of reviews by investing in technology ...
Modern Healthcare1d
CMS to crack down on Medicare Advantage overpayment
The Centers for Medicare and Medicaid Services will audit every Medicare Advantage plan, every year to root out improper ...
Trump Administration to Tackle Billions in Medicare Overpayments
Medicare Advantage plans are based on an enrollee's diagnosis; those with more serious or chronic conditions receive higher ...
Fierce Healthcare19h
CMS deploying more coders, 'advanced systems' to audit all Medicare Advantage contracts
The Centers for Medicare & Medicaid Services (CMS) will expand its team of medical coders and increase the number of audits ...
HME News12h
CMS accelerates MA audits
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 ...
CMS expands audit efforts for Medicare Advantage plans in the U.S.
The U.S. Centers for Medicare & Medicaid Services (CMS) announced a major expansion of its audit efforts for Medicare ...
Stocktwits on MSN1d
Humana, UnitedHealth, CVS Slide As CMS Targets Medicare Overpayments In ‘Aggressive’ Audit Plan
Shares of major U.S. healthcare firms came under pressure Wednesday following the Centers for Medicare and Medicaid Services’ ...
Humana and Other Health Insurer Stocks Fall as US Vows to Step Up Medicare Advantage Audits
Shares of Humana and other health insurers fell Thursday after the Centers for Medicare & Medicaid Services said it plans to ...
STAT1d
Trump, building on Biden policy, to speed up audits of Medicare Advantage insurers
CMS will hire nearly 2,000 coders to conduct audits to confirm diagnoses used for payment are backed by medical records.
American Hospital Association9h
CMS to expand audits of MA plans
The Centers for Medicare & Medicaid Services May 21 announced it will immediately begin annual audits of all Medicare ...
UnitedHealth, Humana, CVS drop on expanded Medicare Advantage audits
According to CMS Administrator Dr. Mehmet Oz, the audits will ensure that Medicare Advantage plans are accurately billing the ...
US Will Expand Its Audits of Medicare Advantage Health Plans
The Trump administration plans to expand government audits of private Medicare health plans, adding more scrutiny to an ...