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CMS’s Final Rule on Medicare Advantage Risk Adjustment Data Validation

February 2, 2023

On February 1, 2023, the Centers for Medicare & Medicaid Services (CMS) published a final rule outlining its audit methodology and related policies for its Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) program. The final rule codifies long-awaited regulations first proposed by CMS in 2018.

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The Department of Justice (“DOJ”) Continues its Medicare Advantage (“MA”) Enforcement Efforts with a $90 Million Dollar Settlement Against Downstream Provider Sutter Health

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OIG Audits on Medicare Advantage Plans Continue

April 26, 2021

A Reflection on RBG’s Impact and Legacy

September 28, 2020

Federal Legislators Express Continued Concerns with Oversight of Medicare Advantage Plans

September 25, 2019

Federal Legislators Express Continued Concerns with Oversight of Medicare Advantage Plans

September 25, 2019

Medicare Advantage Downstream Provider Settles Risk Adjustment False Claims Allegations

October 5, 2018

Medicare Advantage Downstream Provider Settles Risk Adjustment False Claims Allegations

October 5, 2018
Connect: https://www.ebglaw.com/teresa-a-mason/
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Blogs
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Teresa A. Mason

Connect: https://www.ebglaw.com/teresa-a-mason/
Subscribe: Subscribe via RSS
Blogs
  • Health Law Advisor
Firm/Org
  • Epstein Becker & Green, P.C.
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