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TERESA A. MASON is an Associate in the Health Care and Life Sciences practice, in the Washington, DC, office of Epstein Becker Green. She concentrates in health care fraud and abuse, risk adjustment coding and payment, government investigations, and health regulatory counseling.
On January 30, 2023, CMS posted for inspection a final rule describing its Risk Adjustment Data Validation audit methodology (the Final RADV Rule). As we have discussed in prior alerts,.
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.
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