“CMS has taken a tentative but meaningful step forward,” according to the article. “It should be emboldened to do more to expand RADV audits and safeguard the fiscal sustainability of Medicare.”
Under a RADV audit, CMS takes a sample of an MA plan’s patient population and compares claims to a patient’s medical record to ensure the plan did not receive an overpayment.
https://www.fiercehealthcare.com/pa...further-radv-audits-despite-latest-final-rule
Under a RADV audit, CMS takes a sample of an MA plan’s patient population and compares claims to a patient’s medical record to ensure the plan did not receive an overpayment.
https://www.fiercehealthcare.com/pa...further-radv-audits-despite-latest-final-rule