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Renewed Focus On Upcoding And Medicare Advantage Overpayments In Light Of Recently Proposed Bipartisan Legislation - Healthcare

Renewed focus on upcoding and Medicare Advantage overpayments in light of recently proposed bipartisan legislation | Reed Smith

Insurers insist RADV rule, MA payment changes would result in cuts

Insurers have been pushing back against a Medicare Advance Notice on payment rates and a Risk Adjustment Data Validation (RADV) final rule they say will affect consumers and taxpayers. With an eye toward improving program integrity, the Risk Adjustment Data Validation (RADV) rule modifies how CMS calculates what a plan has to pay back to the federal government when risk

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