CMS will audit every Medicare Advantage plan for potential overpayments annually, in what the agency called an “aggressive” plan to step up oversight. According to a May 21 news release, the agency plans to audit each of the more than 500 MA plans each year. Currently, the agency audits around 60 plans each year. “While the administration values the work that Medicare Advantage plans do, it is time CMS faithfully executes its duty to audit these plans and ensure they are billing the government accurately for the coverage they provide to Medicare patients,” CMS Administrator Mehmet Oz, MD said.
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Source: https://www.beckerspayer.com/policy-updates/cms-plans-aggressive-medicare-advantage-audits