On January 30, 2023 after over four years of waiting the Centers for Medicare & Medicaid Services (“CMS”) issued the final Medicare Advantage (“MA”) Risk Adjustment Data Validation.
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,.
Medicare Advantage plans are expected to receive a 1.03% increase in revenue under the 2024 Advance Notice for the Medicare Advantage and Part D Prescription Drug Programs released by the Centers for Medicare and Medicaid Services on Wednesday. CMS is proposing technical updates to the MA risk adjustment model by fully transitioning to the Internal Classification of Diseases
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.