CMS’s Final Rule on Medicare Advantage Risk Adjustment Data Validation
Health Law Advisor
FEBRUARY 2, 2023
For these years, CMS will limit payment recoveries to “enrollee-level adjustments,” i.e., the non-extrapolated overpayments identified in CMS RADV audits and Department of Health and Human Services Office of Inspector General (OIG) audits. million per year starting in 2025 for PY 2018 from extrapolated recoveries.
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