Federal Register Final Rule: Medicare and Medicaid Programs; Policy and Technical Changes to the Medicare Advantage, Medicare Prescription Drug Benefit, Program of All-Inclusive Care for the Elderly (PACE), Medicaid Fee-For-Service, and Medicaid Managed Care Programs for Years 2020 and 2021
Policy FR-2023-01942 · Medicare Advantage
The recent rule aims to enhance the integrity and accuracy of payments in the Medicare Advantage program by outlining a revised audit methodology for the Risk Adjustment Data Validation (RADV). By cod