CMS Finalizes Medicare Advantage Risk Adjustment Data Validation Rule

The Centers for Medicare & Medicaid Services (CMS) issued a rule that finalizes technical details regarding the Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) program. This is the program that CMS uses to recover improper risk adjustment payments made to MA plans.   Final policies include:  CMS will not extrapolate RADV audit findings for payment years...