tci Medicare Compliance & Reimbursement - 2009 Issue 7

MEDICARE ADVANTAGE : CMS Overhauls Medicare Advantage Program

Oversight of MA could tighten significantly. CMS is buckling down on the Medicare Advantage (MA) program -- and it could end up meaning more scrutiny when you bill these plans. CMS announced on March 30 that it will make significant changes to Medicare Advantage. For instance,CMS will require MA organizations to ensure that all of the plans they offer in 2010 are significantly different from one another so beneficiaries can make better enrollment decisions. With fewer MA plan options on the market, CMS will be able to eliminate the low-volume plans that "crowd the market," according to...

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