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Medicare Advantage RADV

Home → Medicare Advantage RADV

Avoid This RADV Coding Mistake Before It Costs You

On June 23, 2025   /   Compliance, Medicare Advantage RADV, Risk Adjustment  
Avoid This RADV Coding Mistake Before It Costs You

CMS is launching the most extensive RADV audit expansion in Medicare Advantage history. Health plans need to move quickly—and smartly—to reduce risk and limit exposure. One of the most common (and costly) mistakes? Contracting with the same vendors used for retrospective coding. Coders trained for retro reviews may bring

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RADAR on Medicare Advantage | CMS Ramps Up RADV Audit Plans, But Questions Remain About Process

On June 6, 2025   /   Firm News, Media Coverage, Medicare Advantage RADV  

RADAR on Medicare Advantage, June 5, 2025 Following up on promises to root out fraud, waste and abuse in government-sponsored programs, CMS on May 21 stunned the industry with a bold plan to rapidly expand risk adjustment data validation audits (RADV) used to collect overpayments from Medicare

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