tci General Surgery Coding Alert - 2023 Issue Q3

Medicare Policy: Watch CMS Tighten Reins on Medicare Advantage Plans

Final rule focuses on equity and utilization review. If your practice provides services to beneficiaries with Medicare Advantage Plans, you should be aware of some changes coming down the pike. Published in the Federal Register on April 12 and applicable to coverage beginning January 1, 2024, the 2024 Medicare Advantage (MA) and Part D final rule ratchet up accountability for these programs. “People with Medicare deserve to have access to accurate information when making coverage choices, and to be able to get the care they need without excessive burden or delays,” said Meena Seshamani, MD, CMS Deputy...

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