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Is Your Organization Ready for the Full Implementation of V28? Here’s What You Need to Know
The Centers for Medicare & Medicaid Services (CMS) have introduced significant updates to the Hierarchical Condition Category (HCC) risk...
Apr 112 min read
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From Civil Penalties to $62M Settlements – Why Audit Readiness Matters More Than Ever
As of January 2025, the Centers for Medicare & Medicaid Services (CMS) imposed civil monetary penalties on several Medicare Advantage and...
Apr 42 min read
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Navigating Potential HHS Workforce Reductions
Recent discussions around potential restructuring within the Department of Health and Human Services (HHS), including significant...
Mar 272 min read
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CMS and Medicare Advantage: What’s Next for Publicly Traded and Local Plans?
The Centers for Medicare & Medicaid Services (CMS) is sharpening its focus on Medicare Advantage (MA) plans, with special attention on...
Mar 192 min read
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