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Thread: Villages Health where did all the money go?
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Old 07-14-2025, 08:29 PM
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Originally Posted by CoachKandSportsguy View Post
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.
And auditing for coding accuracy is not the same as having their financials audited. Since TVH is not a public entity, having their financials audited is optional, unless required by those extending credit to them.
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