The Centers for Medicare and Medicaid Services (CMS) published its final rule regarding the Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) program in early February 2023.[1] Among ...
CMS estimates that RADV audits will recover approximately $4.7 billion from MAOs between 2023 – 2032. CMS will specify how MAOs must remit improper payments identified as a result of a RADV audit to ...
HHS' Office of Inspector General has told the University of Cincinnati Medical Center it must refund more than $9.8 million in Medicare payments stemming from a variety of alleged inpatient billing ...
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