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In brief: CMS considers MA audits, CPAP startup gets funding

December 31, 2015HME News Staff

WASHINGTON - CMS is considering expanding its RAC program for Medicare Advantage, according to a draft scope of work published by the agency.Currently, CMS audits 30 MA contracts per payment year, about 5% of the total number of contracts. Now it is considering increasing the number of contracts that are subject to some type of risk adjustment data validation audit, which validates the accuracy of diagnosis data submitted by MA organizations.“Our ultimate goal is to have all MA contracts subject...

Human Design Capital, Medicare Advantage, National Home Infusion Association (NHIA), Sutter Home