MedCity News July 7, 2022
Seniors’ demand for Medicare Advantage plans shows no signs of slowing down any time soon, and that means CMS is likely to continue accelerating its FWA audits of MA plans, particularly given the prevalence of Covid-19-related fraud.
In the near future, two industry trends are likely to converge and then create a significant push by the federal government to beef up its investigations of fraud, waste, and abuse on the part of Medicare Advantage (MA) plans.
First is the surging popularity of MA plans, driven in part by patient demand for their low premiums and innovative, new benefits. Next is a flood of Covid-19-related claims as patients, payers and providers wade through medical bills and clinical records to reconcile billions...
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