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The confluence of several serious issues includes a general DOJ investigation into Medicare Advantage coding and billing, CMS rule changes regarding risk scores, and the appointment of a key figure to restore operational discipline.

1 report, 0 independent Updated Jun 25
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What happened

SpeculativeNo independent reporting found

The confluence of several serious issues includes a general DOJ investigation into Medicare Advantage coding and billing, CMS rule changes regarding risk scores, and the appointment of a key figure to restore operational discipline.

Who's involved

What this event is mainly about

How it developed

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  1. The Department of Justice and CMS are jointly enforcing healthcare fraud.Sub-event
  2. DOJ investigating Medicare Advantage coding/billing; CMS rule changes; Hemsley appointment.

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The entities involved

Coverage

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  • Unknown outlet