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  1. 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.
  2. The Department of Justice and CMS are jointly enforcing healthcare fraud.
  3. The Department of Justice is enforcing federal laws regarding care in Massachusetts and Connecticut, involving state attorneys general.

The department involved in matters affecting Connecticut has finalized its 2027 rate decisions.

1 report, 1 independent Updated Sep 13
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The department involved in matters affecting Connecticut has finalized its 2027 rate decisions.

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