Becker's Healthcare February 8, 2023
Payer executives are still taking stock of tougher Medicare Advantage auditing standards CMS unveiled Jan. 31.
On fourth-quarter earnings calls, executives told their investors they are evaluating next steps and awaiting more information from CMS.
Execs said they were pleased CMS decided not to extrapolate the new rules to contracts prior to 2018 but expressed disappointment the agency eliminated the fee-for-services adjuster, which allows a permissible number of payment errors.
Industry leaders had signaled prior to the announcement the industry is likely to sue over the lack of a FFS adjuster.
Here is what executives had to say about the tougher auditing standards:
Tim Noel, CEO of Medicare and retirement for UnitedHealth Group, on a...
Today's Sponsors
Today's Sponsor