On January 30, 2023, CMS posted for inspection a final rule describing its Risk Adjustment Data Validation audit methodology (the Final RADV Rule). As we have discussed in prior alerts, the ...
QMetrics is proud to continue its pivotal role as the official Validator for the NCQA's 11th Cohort of the Data ...
CMS Issuing First Risk Adjustment Data Validation Audit Notices for PY2018 Since the RADV Final Rule
The Centers for Medicare and Medicaid Services (CMS) is issuing, what will amount to be, very significant Risk Adjustment Data Validation (RADV) Audit notices for PY2018 to Medicare Advantage ...
WALTHAM, Mass.--(BUSINESS WIRE)--Health plans are under greater scrutiny, navigating an increasingly complex regulatory environment. The Centers for Medicare and Medicaid Services (CMS) estimates $4.7 ...
Trinity Solutions and Services provides asset management, maintenance, validation, and technical staffing services for regulated industries. With a focus on execution, lifecycle alignment, and ...
The Impact of AI in Banking and Financial Services, evaluates how machine learning and natural language processing can be ...
GLENDALE, Calif.--(BUSINESS WIRE)--Ventegra, Inc., a Medical Benefit Manager (MBM) that delivers innovative, cost-efficient pharmaceutical and healthcare solutions to payors, providers, patients, and ...
The Centers for Medicare and Medicaid Services today released the final rule to change the methodology for the U.S. Department of Health and Human Services' risk adjustment data validation (HHS-RADV) ...
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