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CMS Threatens Fines as Industry Struggles to Maintain Accurate Provider Directories
Healthcare Payer News 
Apr. 5, 2016
"While healthcare provider directories have always been hard to maintain, new [CMS] regulations can mean costly fines if insurers fail to keep accurate, up-to-date information on the physicians who are in their health plans.... [The new regulations levy] fines against insurers of up to $25,000 per beneficiary for errors in Medicare Advantage plan directories and up to $100 per beneficiary for errors in plans sold on the federally run insurance exchanges in 37 states. Payers found in violation of the CMS rules can also be banned from new enrollment and marketing."
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