Medicare Advantage Update: 2024 Rule Changes Demand Compliance Review
New Medicare Advantage rules require revised billing practices for prior authorization and network adequacy.
Action required by
June 5, 2023
Review the Action Required section below and ensure your team has completed all compliance steps before this date.
Medicare Advantage regulations have been updated with the final rule for Contract Year 2024, effective June 5, 2023.
What Changed Recent policy changes impact billing processes within Medicare Advantage programs, specifically revising prior authorization procedures and network adequacy requirements. Providers must adapt their billing practices to align with these new regulations.
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Quick answers
What specific aspects of billing are affected by the new rule?
The new rule impacts prior authorization procedures and network adequacy requirements in Medicare Advantage programs.
When do these changes take effect?
The changes are effective starting June 5, 2023.
How should practices ensure compliance with the updated regulations?
Practices should review the updated regulations and revise billing practices to meet new prior authorization and network adequacy guidelines.
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.