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

The agency said it would increase the number of MA plan audits and complete its backlog of reviews by investing in technology ...

Shares of big health insurer were in the red Thursday after the Centers for Medicare and Medicaid Services (CMS) said it ...

The Centers for Medicare & Medicaid Services (CMS) will expand its team of medical coders and increase the number of audits ...

Medicare Advantage plans are based on an enrollee's diagnosis; those with more serious or chronic conditions receive higher ...

The Centers for Medicare and Medicaid Services is proposing to close what the agency dubs a "loophole" in an obscure form of Medicaid funding. In a proposed rule released Monday, CMS seeks to ...

CMS expands Medicare Advantage audits to tackle overbilling, recover funds, and boost oversight with advanced tech and ...

“Medicare enrollment revocations, Medicaid enrollment terminations, and extrapolated overpayments resulting from program integrity concerns can have devastating effects on providers,” attorney ...

CMS draft guidance includes Medicare Part B drugs in 2026 price negotiations, with new prices set for 2028. Public comment period on CMS proposal is open until June 26, 2025. Get Matt Maley’s ...