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Medicare Advantage Directories Remain Full of Errors Due to CMS Inaction

Posted by www.psmbrokerage.com Admin on Thu, Dec 06, 2018 @ 11:27 AM

Medicare Advantage Directories Remain Full of Errors Due to CMS Inaction

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Julie Carter / December 6, 2018 / Medicare Watch

It is important that Medicare Advantage organizations (MAOs) supply complete, accurate, and accessible provider directories to ensure that those who enroll in Medicare Advantage (MA) plans know which providers are in a given plan’s network. Unfortunately, as we have highlighted before, MAO provider directories are not complete and accurate. Instead, for the third year running, the Centers for Medicare & Medicaid Services (CMS), the agency that runs the Medicare program, has revealed directory audit results showing widespread errors and inaccuracies.

In 2017’s audit report, CMS found that 45.1% of provider directory locations listed in these online directories were inaccurate. In the early 2018 report, 52.20% of the provider directory locations listed had at least one inaccuracy. Now, the third such report shows that 48.74% of the provider directory locations listed had at least one inaccuracy. The types of inaccuracies remain the same: the provider was not at the location listed; the phone number was incorrect; or the provider was not accepting new patients when the directory indicated they were.

Read the newest audit report

Source

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Tags: Medicare Advantage, Medicare

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