ICD10monitor February 1, 2023
Mark Spivey

The federal agency announced this week that it has updated its policies for the MA RADV program.

Echoing an intensifying drumbeat of criticism heard from providers, whistleblowers, consumers, and advocacy groups, the New York Times turned a witheringly scrutinous eye to the Medicare Advantage (MA) program in a feature article last October, saying that a “review of dozens of fraud lawsuits, inspector general audits and investigations by watchdogs shows how major health insurers exploited the program to inflate their profits by billions of dollars.”

So it may not have come as a surprise when federal officials this week announced that they were taking a similarly inquisitive look.

The Centers for Medicare & Medicaid Services (CMS) issued a press release announcing...

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