Alert detail

Federal Register Final Rule: Medicare and Medicaid Programs; Policy and Technical Changes to the Medicare Advantage, Medicare Prescription Drug Benefit, Program of All-Inclusive Care for the Elderly (PACE), Medicaid Fee-For-Service, and Medicaid Managed Care Programs for Years 2020 and 2021

Policy ID: FR-2023-01942Specialty: Medicare AdvantageAdded: 6/5/2026Effective: April 3, 2023final rule
Critical

What changed

New Medicare Advantage rule set to alter payment audit processes.

Who’s affected: Medicare Advantage billing teams · Effective: April 3, 2023

Primary source: View the official CMS/MAC document ↗

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Federal Register Final Rule: Medicare and Medicaid Programs; Policy and Technical Changes to the Medicare Advantage, Medicare Prescription Drug Benefit, Program of All-Inclusive Care for the Elderly (PACE), Medicaid Fee-For-Service, and Medicaid Managed Care Programs for Years 2020 and 2021