The atmosphere around the future of Medicare Advantage has been fraught since the announcement of the final rule on Risk Adjustment Data Validation (RADV).
The rule's new methodology will be applied to plans dating back to 2018, and the Centers for Medicare and Medicaid Services (CMS) anticipates it will recoup nearly $50 billion for...
The Centers for Medicare and Medicaid Services (CMS) has issued a final rule that will increase the amount federal authorities can recoup from Medicare Advantage organizations (MAOs) that were overpaid due to incorrect diagnostic coding.
The Medicare Risk Adjustment Data Validation (RADV) final rule means that CMS will also stop...