INSURASALES

Tag: Healthcare Audits

Skilled Nursing Improper Payments Double Medicare Average; Compliance Vital

2024 report shows skilled nursing improper payments at 17.2%, double Medicare average. Strong compliance and thorough documentation crucial to avoid audits and fraud allegations.

CMS Expands Medicare Advantage Audits to Address $43B Overpayments

CMS is intensifying Medicare Advantage audits to recover $43 billion in overpayments, impacting provider contracts and regulatory compliance across the MA ecosystem.