Nursing home stakeholders remain cautiously optimistic regarding Medicare Advantage plan audits announced by the Centers for ...

The plan to investigate the private health-insurance companies that run Medicare Advantage has been drastically expanded.

Key Takeaways Shares of Humana and other health insurers fell Thursday after the Centers for Medicare & Medicaid Services ...

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

On May 21, 2025, the Centers for Medicare and Medicaid Services (“CMS”) announced a significant expansion of its auditing ...

Medicare Advantage plans have drawn the ire of lawmakers for aggressive coding. Investigations are underway. Some hope ...

The Centers for Medicare & Medicaid Services (CMS) announced that it is ramping up audits of all Medicare Advantage (MA) plans – which could possibly ...

A recent CMS announcement signals a more aggressive approach to auditing Medicare Advantage plans. Revenue cycle leaders should be prepared for the ripple effects.

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

The Centers for Medicare & Medicaid Services May 21 announced it will immediately begin annual audits of all Medicare ...

Last week, I was flipping through the newly filed financial documents of AdventHealth, and the numbers hit me like an ...

UnitedHealth investors have another bitter pill to swallow, as the CMS said it was aggressively growing its audit team to ...