Medicare AdvantageAdministrativeMedium impact
CMS to Conduct Audit to Identify Improper Medicare Advantage Payments
Florida Blue·FL·Medicare
We identified it
Jun 16, 2026
Summary
CMS has selected Florida Blue Medicare for a Part C Improper Payment Measure audit covering calendar year 2023, reviewing service dates from January 2022 through December 2022. Florida Blue may request medical records for BlueMedicare HMO and PPO patients selected for this routine audit to validate risk-adjusted payments.
Action Required
Immediately: Prepare to respond to medical record requests from Florida Blue Medicare for BlueMedicare HMO and PPO patients with service dates January 2022 - December 2022. Ensure medical records are readily accessible and complete for audit purposes. Contact RPMchartprocurement@FloridaBlue.com with any audit questions. No patient authorization required per HIPAA compliance.