The Centers for Medicare & Medicaid Services yesterday extended to Aug. 28 the comment deadline for the risk adjustment data validation provisions in its proposed rule making changes to the Medicare Advantage and prescription drug benefit programs for contract year 2020. CMS has proposed changes to the risk adjustment data validation audit methodology, used to verify the accuracy of payments and identify improper payments for recovery. The deadline for comments on this provision had previously been extended to April 30. CMS now expects to release additional data underlying the provision by June 14.

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The Centers for Medicare & Medicaid Services released a proposed rule Oct. 16 seeking to codify regulations that will improve the accuracy of Medicare…
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The Centers for Medicare & Medicaid Services has released 2027 Medicare Advantage plan information, including star ratings, through the Medicare Plan…
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The AHA provided comments to the Medicare Payment Advisory Commission Oct. 2 on a discussion from the commission’s September meeting on its examination of…
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The Centers for Medicare & Medicaid Services announced Sept. 28 that it projects declines in average premiums for Medicare Advantage and Part D in 2027.…
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The U.S. District Court for the Eastern District of Pennsylvania Aug. 5 granted a motion for the AHA and the Hospital and Healthsystem Association of…
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The Centers for Medicare & Medicaid Services July 27 released its Contract Year 2025 Part C and Part D Program Audit and Enforcement Report, outlining key…