From policy to practice: How health plans can operationalize CMS payment integrity changes
CMS is reshaping how health plans approach payment integrity. Faster regulatory cycles along with heightened scrutiny of improper payments have resulted in expanded audits for providers and payers. This represents a greater emphasis on prevention and real-time intervention as increasing pressure on payers to ensure medical claims are reimbursed accurately. Today’s challenge goes far beyond […] The post From policy to practice: How health plans can operationalize CMS payment integrity changes...
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Policy / Regulatory Changes signal via Becker's Payer Issues: "From policy to practice: How health plans can operationalize CMS payment integri…".
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[DRAFT — verify before any external use] Becker's Payer Issues reports on policy / regulatory changes: CMS is reshaping how health plans approach payment integrity. Faster regulatory cycles along with heightened scrutiny of improper payments have resulted in expanded audits for providers and payers. This represents a grea…
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