CMS Audit Finds Medicare Advantage Provider Directories Woefully Deficient

CMS Audit Finds Medicare Advantage Provider Directories Woefully Deficient

EqualizeRCM Blog
EqualizeRCM Services' Partner, Heidi Henderson, 1st Assistant Credentialing Services, describes how CMS Audit finds Medicare Advantage Provider Directories woefully deficient.   Medicare Advantage provider directories are still packed with errors. That is the finding released last month based on federal audits of those directories. This audit was begun under the Obama administration and encompasses about one-third of Medicare Advantage plans every year. As reported by ModernHealthcare.com, the audit revealed that almost half of provider directory locations included at least one mistake.   Errors Included The wrong location The wrong phone number That the provider was accepting new patients when they were not For the third straight year, significant errors were found that may result in fines or other penalties for those insurers. The Centers for Medicare & Medicaid Services (CMS)…
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