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In the 2023 CMS RADV Final Rule, CMS adopted statistical modeling and analytics to identify “High-Risk Groups of Diagnoses” that are deemed the highest priority for recouping improper payments.
These identified diagnoses will be the focal point in RADV and OIG audits of Medicare Advantage plans, resulting in large financial and regulatory implications associated with those specific conditions being audited.
Join risk adjustment experts to learn more about the impact of this ruling and how health plans can prepare.
- Vendor:
- Inovalon, Inc.
- Premiered:
- Jan 19, 2024
- Format:
- Type:
- Webcast
