Kathy Roe, Managing Attorney, Health Law Consultancy, speaks with Annie Shieh and Judith Waltz, Partner, Foley & Lardner, about the impact of recent changes to Medicare Advantage (MA) compliance on plans and providers. They discuss what plans and providers are responsible for when it comes to MA compliance, the current MA landscape, MA compliance changes from a plans perspective (including the current Administration and the 2026 Final Rule), MA compliance changes from a provider perspecti...
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Kathy Roe, Managing Attorney, Health Law Consultancy, speaks with Annie Shieh and Judith Waltz, Partner, Foley & Lardner, about the impact of recent changes to Medicare Advantage (MA) compliance on plans and providers. They discuss what plans and providers are responsible for when it comes to MA compliance, the current MA landscape, MA compliance changes from a plans perspective (including the current Administration and the 2026 Final Rule), MA compliance changes from a provider perspecti...
Know Your Audit! Operational Considerations for Every Kind of Audit
AHLA's Speaking of Health Law
48 minutes
1 month ago
Know Your Audit! Operational Considerations for Every Kind of Audit
R. Ross Burris, Shareholder, Polsinelli, and Lindsey L. Lonergan, Senior Associate General Counsel, Wellspan Health, discuss current trends and developments related to audits and proactive strategies for dealing with audits. They cover issues related to CMS claim review programs, the increase in commercial audits versus government payer audits, artificial intelligence, Unified Program Integrity Contractor audits, and the 60-day rule. Ross and Lindsey spoke about this topic at AHLA’s 2025 Annu...
AHLA's Speaking of Health Law
Kathy Roe, Managing Attorney, Health Law Consultancy, speaks with Annie Shieh and Judith Waltz, Partner, Foley & Lardner, about the impact of recent changes to Medicare Advantage (MA) compliance on plans and providers. They discuss what plans and providers are responsible for when it comes to MA compliance, the current MA landscape, MA compliance changes from a plans perspective (including the current Administration and the 2026 Final Rule), MA compliance changes from a provider perspecti...
