Centers for Medicare and Medicaid Services released the final rule on risk adjustment data validation audits of Medicare Advantage organizations. There are three key components of the Final Rule and requires MAOs to remit improper payments identified during RADV audits.
The Centers for Medicare & Medicaid Services CMS released the long-delayed final rule on risk adjustment data validation RADV audits of Medicare Advantage MA organizations. CMS promotes the Final Rule as improving program integrity and payment accuracy.
On January 30, 2023, the Centers for Medicare & Medicaid Services (“CMS”) released the long-delayed final rule on risk adjustment data validation (“RADV”) audits of Medicare Advantage.