2026 CMS Program Audit Update: What Plans Must Do To Align
What Changed for 2026: Key Updates from CMS The 2026 audit update from CMS brings a fundamental shift in audit […]
Healthcare GRC
The CMS 2026 Program Audit Update: What I’m really hearing as a Chief Compliance Officer
When the 2026 Program Audit update landed, I didn’t read it as a checklist of changes. I’ve worked in healthcare
2026 CMS Program Audit Countdown: How Health Plans Can Prepare Now
The audit clock has already started CMS Program Audits follow predictable patterns, but most health plans still treat them as
Why CMS and OIG Are Zeroing In on Conflict of Interest
What health plans must prove during audits Conflict of interest compliance is now a front-line issue for health plans. Regulators
Internal Audit: Why Health Plans Can’t Rely on Generic Internal Audit Tools
Why most internal audit tools don’t work as expected for health plans Every year, CMS program audits trigger millions in
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
Is your Medicare Advantage Organization Ready for Compliance with Regulatory Changes in 2023?
Annual Election Period (AEP) is about two weeks away when Medicare Advantage Prescription Drug Plans (MAPD) will be signing up
Discover what’s new for Program Audit ODAG Protocol in 2022
The Centers for Medicare & Medicaid Services (CMS) launched a new cycle of CMS program audits in February 2022. Even
CY 2022 CMS Program Audit Protocols Changes
The Centers for Medicare & Medicaid Services (CMS) launched a new cycle of program audits in February 2022. Multiple Medicare
Theme and Focus for Medicare Regulations for Calendar Year (CY) 2023
On February 2, 2022, the Centers for Medicare & Medicaid Services (CMS) released the CY 2023 Advance Notice of Methodological