CMS Issues Long-Awaited Medicare Advantage RADV Final Rule
Healthcare Law Blog
FEBRUARY 1, 2023
The Final Rule implements the following changes: CMS will extrapolate RADV audit findings beginning with payment year (“PY”) 2018 and will not extrapolate RADV audit findings for PYs 2011 through 2017. One thing that is certain, CMS can expect further challenges to its RADV audit methodology. emphasis added).
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