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

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

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

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

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 Trump administration plans to expand government audits of private Medicare health plans, adding more scrutiny to an ...

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

CMS will hire nearly 2,000 coders to conduct audits to confirm diagnoses used for payment are backed by medical records.

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

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

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