WHAT HAPPENED As part of a broader effort to modernize the Medicare program through IT and innovation, the Centers for Medicare and Medicaid Services today announced changes to the way contractors ...

CMS revised a chapter in the Medicare Program Integrity Manual, which details policies and procedures for Medicare Administrative Contractors and provides guidance for stakeholder engagement.

CMS has provided guidelines on signature authentication for medical reviewers to follow when other precedential instructions are silent. The updates cover signature logs, signature attestation ...

And contractors need not make additional documentation requests (ADR) for related claims before automatically denying them, according to a newly-edited section of the Program Integrity Manual.

CMS is gathering information for and seeking industry feedback on a project that would consolidate the audit and investigation services for Medicare and Medicaid integrity functions, creating new ...

The Centers for Medicare & Medicaid Services is not thoroughly assessing how well zone program integrity contractors are contributing to Medicare anti-fraud efforts, according to a new report from ...

The model's program integrity, patient safety and cost-saving elements will continue without interruption in the current states beyond December 1, 2020, when the model was originally scheduled to end ...