Deadline extended for comments on Medicare Advantage audit proposal
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.
Related News Articles
Headline
UnitedHealth Group announced Jan. 14 that it launched a six-month pilot program to reduce Medicare Advantage payment processing times by half for rural…
Headline
A Senate Judiciary Committee report released Jan. 12 found that UnitedHealth Group used “aggressive strategies” to maximize its Medicare Advantage risk-…
Headline
The AHA Jan. 9 urged the Medicare Payment Advisory Commission to consider, during its next meeting Jan. 15-16, higher payment updates for the…
Headline
The Centers for Medicare & Medicaid Services has implemented an online form for providers to submit complaints regarding Medicare Advantage plans. A CMS…
Headline
The Centers for Medicare & Medicaid Services released a memo Dec. 16 announcing the agency’s intent to conduct a voluntary pilot in 2026, called the…
Headline
The Centers for Medicare & Medicaid Services Nov. 25 issued a proposed rule for policies governing the Medicare Advantage and Part D programs for 2027. CMS…