About

Christine Clements is a partner in the Governmental Practice in the firm's Washington, D.C. office and a member of the firm's Healthcare Team.

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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 (“MA”) organizations (the “Final Rule”). CMS promotes the Final Rule as improving program integrity and payment accuracy as well as transparency and certainty. One thing that is certain, CMS can expect further challenges to its RADV audit methodology.

Continue Reading CMS Issues Long-Awaited Medicare Advantage RADV Final Rule

About

Christine Clements is a partner in the Governmental Practice in the firm's Washington, D.C. office and a member of the firm's Healthcare Team.

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