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Medicare Advantage Medicare Part C remained a top enforcement priority in 2022, and Medicare Advantage Organizations MAOs are subject of intense scrutiny by the Department of Justice DOJ; the Office of Inspector General for the Department of Health and Human Services.
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...
On January 30, 2023, the Centers for Medicare & Medicaid Services released the long-delayed final rule on risk adjustment data validation audits of Medicare Advantage organizations
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.
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...