Quote:
Originally Posted by OrangeBlossomBaby
The auditing at TVH took place in 2024.
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most likely the first time, so the upcoding occurred for several years to get to 300+ million.
However, the point of the post is that many assume that all MA plans are audited by CMS, and that is not correct.
Also, I didn't read by whom the audit was performed, CMS or independent / non CMS for TVH, but I read alot about everyone being audited by CMS. . . I doubt the Leapfrog did their audit to find the issue.