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What Is Medical Auditing?

MedTrainer

Federal Government Audits These audits are performed by government agencies such as the Centers for Medicare and Medicaid Services (CMS). They aim to ensure compliance with federal healthcare programs like Medicare and Medicaid, reviewing claims, billing practices, and overall adherence to program requirements.

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Which Compliance Framework Governs the Healthcare Industry?

MedTrainer

It conducts audits, investigations, and evaluations to ensure efficiency and integrity in HHS programs, including Medicare and Medicaid. The Health Insurance Marketplaces: created under the Affordable Care Act (ACA) to enable individuals to find health coverage.