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CMS Implements Changes to Part C and Part D Program

CMS Implements Changes to Part C and Part D Program
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Discussing Compliance with FFS and MA Medicare Plans

Discussing Compliance with FFS and MA Medicare Plans
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Did Cigna Deserve its $172M Penalty?

Cigna recently agreed to pay $172 million to resolve allegations that it violated the False Claims Act. One expert said this is just a small part of the problem, while another called for more clarity from the government. ....

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CMS Risk Adjustment Data Validation Final Rule

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. ....

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CMS's Final RADV Rule Announces No Extrapolation Methodology, No FFS Adjuster | Morgan Lewis

The Centers for Medicare and Medicaid Services (CMS) issued a final rule on the use of extrapolation to determine overpayments in risk adjustment data validation (RADV) audits of. ....

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