The Centers for Medicare & Medicaid Services (CMS) has notified Medicare Advantage organizations of a new system for managing and tracking provider complaints.
The Centers for Medicare & Medicaid Services said Friday it plans to remove reporting about unsubstantiated complaints from Nursing Home Care Compare next month. The agency informed skilled nursing ...
The HHS Office of Inspector General has reviewed the effectiveness and activity of CMS’ fraud hotline, suggesting the agency issue written guidance for processing hotline complaints and upgrade its ...
Provider groups are calling on CMS to adopt new rules that hold MA plans more accountable for “egregious” denials while also helping to ensure the future success of the only such plans nursing homes ...
An official from the Centers for Medicare and Medicaid Services said the organization would perform an “audit audit” to investigate claims about the increasing number of audits, according to a ...
The Centers for Medicaid and Medicare Services this week released a report on complaints and enforcement efforts concerning the Public Health Service Act, which includes the No Surprises Act. As of ...
Did you know that Medicare has an ombudsman to help you resolve complaints you may have about your healthcare? Congress created the job of Medicare Beneficiary Ombudsman to assist people with Medicare ...