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

CMS announced that it plans to increase its auditing efforts for Medicare Advantage (MA) plans. Effective immediately, CMS ...

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

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

Health insurers are on alert after the Centers for Medicare & Medicaid Services announced May 22 that it is immediately ...

The Centers for Medicare & Medicaid Services (CMS) recently announced it was expanding its efforts to audit Medicare ...

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

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

As Senate Republicans go deep into reconciliation bill-drafting mode, Medicare is increasingly coming up as a potential ...

The changes would limit how insurers add patient diagnoses that trigger lucrative extra payments.

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

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