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OIG Work Plan Targets Chronic Care Management: What Care Management Companies and Investors Need to Know
Articles Carrie Nixon and Cyndi Baily Articles Carrie Nixon and Cyndi Baily

OIG Work Plan Targets Chronic Care Management: What Care Management Companies and Investors Need to Know

The OIG’s 2026 Work Plan includes a major audit of Medicare Chronic Care Management (CCM) services, focusing on eligibility, documentation, and vendor oversight. With rising Part B payments, regulators are targeting compliance risks tied to “multiple chronic conditions” requirements. This article outlines key audit triggers, common red flags, and how care management companies and investors can proactively strengthen compliance ahead of federal scrutiny.

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