The Centers for Medicare and Medicaid Services (CMS) issued a final rule on the use of extrapolation to determine overpayments in risk adjustment data validation (RADV) audits of Medicare Advantage ...

The Centers for Medicare and Medicaid Services (CMS) published its final rule regarding the Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) program in early February 2023.[1] Among ...

For years, our industry treated documentation accuracy as the finish line. If the code was correct, you were compliant. If the chart supported the diagnosis, you were audit-ready. That assumption was ...

WASHINGTON, DC / ACCESS Newswire / May 23, 2025 / In the wake of this week's Centers for Medicare & Medicaid Services (CMS) announcement mandating annual RADV audits for all Medicare Advantage (MA) ...

LEWES, Del., Oct. 21, 2025 (GLOBE NEWSWIRE) -- Martlet.ai, a healthcare AI company spun out of John Snow Labs, today announced the launch of its Risk Adjustment Data Validation (RADV) Audit Readiness ...

Increased oversight seems set to focus most intensely on risk-adjustment data validation (RADV), which confirms medical records support diagnoses used for patients. Noting in its recent announcement ...

To tighten oversight and minimize overpayments to Medicare Advantage plans, the Centers for Medicare & Medicaid Services (CMS) introduced a new rule in 2023 that revamped the agency’s approach to risk ...

MILLERSVILLE, Md.--(BUSINESS WIRE)--J29 Inc. is happy to announce that it has been awarded a prime contract in support of the Centers for Medicare and Medicaid Services (CMS), a federal agency ...

At RISE West, we're not just talking about AI - we're showing exactly how it solves healthcare's most expensive compliance challenge," said Chetan Parikh, CEO of RAAPID. "Attendees will see our ...

(MENAFN- PR Newswire) The company's solutions help healthcare organizations achieve RADV audit preparedness through careful medical record validation, diagnosis documentation, and specialist record ...

New rules ignite a surge in payer demand for data platforms that support RADV readiness, Stars forecasting, and member retention analytics. WASHINGTON, DC / ACCESS Newswire / May 23, 2025 / In the ...

LOUISVILLE, Ky.--(BUSINESS WIRE)--#RAAPID--RAAPID, a leading provider of AI-driven risk adjustment and compliance solutions, today announced the launch of its comprehensive RAAPID RADV Audit Solution.