Medicare Advantage (Medicare Part C) remained a top enforcement priority in 2022, and Medicare Advantage Organizations (MAOs) are the subject of intense scrutiny by the Department of.
Medicare Advantage Medicare Part C remained a top enforcement priority in 2022, and Medicare Advantage Organizations MAOs are subject of intense scrutiny by the Department of Justice DOJ; the Office of Inspector General for the Department of Health and Human Services.
The Affordable Care Act’s 60-day overpayment rule generally requires healthcare providers to report and return overpayments 60 days after the provider identifies the overpayment. The CMS issued a proposed rule that would amend the standard imposed on Medicare providers.
This Week in Washington: President Biden announces ending date of COVID-19 PHE, House begins investigations into COVID-19 origins; State of the Union scheduled for Feb. 7.
Centers for Medicare & Medicaid Services CMS was very busy last week! On Jan. 30, CMS issued long-awaited Risk Adjustment Data Validation Final Rule. Two days later, it published its Advance Notice of Calendar Year CY 2024 Capitation Rates for Medicare Advantage MA Plans.