The upcoming Medicare Prescription Payment Plan (M3P), set to launch in January 2025, marks a significant shift in Medicare’s approach to prescription drug coverage. This initiative, introduced under the Inflation Reduction Act of 2022, aims to smooth out-of-pocket costs for … Read More
cms program audit
2024 CMS Program and Focus Audits: Are You Prepared?
Starting January 2024, the Medicare Parts C and D Oversight and Enforcement Group of the Centers for Medicare & Medicaid Services (CMS) will begin conducting both Program Audits and focused audits of Medicare Advantage organizations (MAO) to assess compliance with … Read More
2024 CMS Program Audit Updates: Summary and Insights
Summary of the HPMS Memo Generated by USHER (Inovaare’s AI-powered Compliance Assistant) The Centers for Medicare and Medicaid Services (CMS) issued a memorandum detailing several announcements relating to its 2024 CMS program audit. This includes new requirements for coverage criteria … Read More