News

Sanjay Doddamani, MD, MBA, a former senior advisor to the Center for Medicare and Medicaid Innovation, and internist and ...
A new skilled nursing facility validation program could be the “tip of the iceberg” in verifying provider quality ...
The plan to investigate the private health-insurance companies that run Medicare Advantage has been drastically expanded If the Medicare Advantage program isn't in crisis, it's doing a terrific ...
Shares of Humana and other health insurers fell Thursday after the Centers for Medicare & Medicaid Services said it plans to take a more "aggressive" approach to auditing Medicare Advantage plans.
Bertha Coombs reports on shares of Medicare Advantage health insurers coming under pressure after the Centers For Medicare and Medicaid announces a significant ramp up in auditing of plans ...
CMS expands Medicare Advantage audits to tackle overbilling, recover funds, and boost oversight with advanced tech and resources. Read more here.
CMS will hire nearly 2,000 coders to conduct audits to confirm diagnoses used for payment are backed by medical records.