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.
The Centers for Medicare and Medicaid Services has finalized risk adjustment policies in a final rule to prevent overpayments to Medicare Advantage Organizations. Studies and audits done separately by CMS and the Health and Human Services Office of Inspector General have shown that Medicare Advantage enrollees' medical records do not always support the diagnoses reported by
On December 14, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule regarding Contract Year 2024 Policy and Technical Changes.
Centers for Medicare & Medicaid Services CMS issued a proposed rule regarding Contract Year 2024 Policy and Technical Changes to the Medicare Advantage MA and Medicare Prescription Drug Benefit Programs.
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