The Centers for Medicare & Medicaid Services yesterday extended to Aug. 28 the comment deadline for the risk adjustment data validation provisions in its proposed rule making changes to the Medicare Advantage and prescription drug benefit programs for contract year 2020. CMS has proposed changes to the risk adjustment data validation audit methodology, used to verify the accuracy of payments and identify improper payments for recovery. The deadline for comments on this provision had previously been extended to April 30. CMS now expects to release additional data underlying the provision by June 14.

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The U.S. District Court for the Eastern District of Pennsylvania Aug. 5 granted a motion for the AHA and the Hospital and Healthsystem Association of…
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The Centers for Medicare & Medicaid Services July 27 released its Contract Year 2025 Part C and Part D Program Audit and Enforcement Report, outlining key…
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Medicare Advantage now covers more than half of eligible Medicare beneficiaries, making its impact on hospitals, health systems and patients impossible to…
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The Medicare Payment Advisory Commission June 15 released its June report to Congress that estimated the association between Medicare Advantage enrollment and…
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The Department of Health and Human Services Office of Inspector General June 11 released two reports on high rates of coverage denials by Medicare Advantage…
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Members of Congress and hospital and health system leaders today gathered for a briefing in Washington, D.C., to discuss how payment delays in Medicare…