Becker's Healthcare September 5, 2025
CMS’ progress toward expanding its team of medical coders to audit more Medicare Advantage plans is unclear, Bloomberg reported Sept. 5.
In May, the agency said it would audit every MA plan for potential overpayments annually, in what was described as an “aggressive” plan to step up oversight. Part of the announced plan was expanding the government’s team of medical coders from 40 to around 2,000 by Sept. 1 and using “enhanced technology” to review medical records.
Since that announcement, CMS has not provided an update on meeting the Sept. 1 target, and a spokesperson would not...
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