Medicare Advantage

Medicare Advantage 2024: Key Billing Updates for Contract Year Implementation

Source published April 12, 2023

What Changed

Action required by

June 5, 2023

Review the Action Required section below and ensure your team has completed all compliance steps before this date.

What Changed

The Medicare Advantage payment system underwent significant updates effective June 5, 2023, as outlined in the Federal Register Final Rule (Policy ID: FR-2023-07115). These changes focus on enhancing health equity, modifying prior authorization requirements, and improving network adequacy standards. The goal is to streamline billing and reimbursement processes, ensuring beneficiaries have access to necessary services without undue barriers.

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Content summarized from publicly available federal publications including CMS, MAC contractors, and the Federal Register. CLV Intelligence is not affiliated with or endorsed by any government agency. This is not legal or medical advice.