On February 1, 2023, CMS published its final rule addressing the Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) program. CMS uses RADV audits to identify whether.
U.S. Department of Justice DOJ in fiscal year ending Sept. 30, 2022, government recovered more than $2.2 billion from 351 settlements and judgments under False Claims Act, for average recovery of $6.2 million per settlement/judgment.
On January 30, the Centers for Medicare & Medicaid Services (CMS) released a long-awaited final rule addressing how it will calculate and collect overpayments from Medicare Advantage.
Centers for Medicare & Medicaid Services CMS was very busy last week! On Jan. 30, CMS issued long-awaited Risk Adjustment Data Validation Final Rule. Two days later, it published its Advance Notice of Calendar Year CY 2024 Capitation Rates for Medicare Advantage MA Plans.
On February 1, the Centers for Medicare & Medicaid Services (CMS) published the Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) Program Final Rule (Final Rule), which.