Chief Healthcare Executive November 28, 2023
Health systems say they are seeing more denials, and they worry the plans are going to skirt federal regulations in reviewing hospital admissions.
Hospitals say they are encountering more problems with denials of claims from Medicare Advantage plans.
Health systems are also saying they are worried that Medicare Advantage plans are going to skirt federal rules regarding inpatient admissions in the coming year. The American Hospital Association and the Federation of American Hospitals have both aired their concerns to the Centers for Medicare & Medicaid Services and are seeking action.
Both trade groups have asked CMS to ensure that Medicare Advantage plans follow new federal guidelines that they say are designed to ensure appropriate access to care. They both also...
Today's Sponsors
Today's Sponsor