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 AHA today released its Health Care Plan Accountability Update, covering the latest developments in Medicare Advantage, legislation and…
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UnitedHealth Group announced plans to expand its Rural Payment Acceleration Pilot to reduce Medicare Advantage payment processing times for…
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Few patient populations are more vulnerable to the shifting winds around health care today than Medicare beneficiaries who need specialized, high-acuity and…
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The Centers for Medicare & Medicaid Services April 6 released the Medicare Advantage and Part D Rate Announcement for calendar year 2027. The rate…
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The Centers for Medicare & Medicaid Services April 2 released a final rule on policy and technical changes to Medicare Advantage, the Medicare Prescription…
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The Centers for Medicare & Medicaid Services March 30 announced that C2C Innovative Solutions will replace Maximus in reviewing and processing appeals of…