News

American Hospital Association17h
CMS requests comments on MA service level data collection for initial determinations, appeals
The Centers for Medicare and Medicaid Services May 30 released a notice requesting comments on a proposed Medicare Advantage ...
Healthcare Dive19h
HHS watchdog accuses CVS Medicare Advantage plan of upcoding
The vast majority of diagnoses codes that CVS subsidiary Coventry submitted to the CMS between 2018 and 2019 weren’t ...
National Law Review20h
CMS Doubles Down on Medicare Advantage Recoupment: Announces Aggressive RADV Strategy to Reclaim Billions
On May 21, 2025, the Centers for Medicare & Medicaid Services (CMS) announced[1] an aggressive plan (Plan) to expand its ...