Tag: risk adjustment

CMS Releases Additional Data Related to Risk Adjustment Data Validation Proposed Rule

The Centers for Medicare and Medicaid Services (CMS) released additional materials, including study data, related to a previous proposed rule regarding Risk Adjustment Data Validation (RADV) audits.  In November 2019, CMS proposed a rule that would ...

CMS Issues Final Rule for the 2020 Annual Notice of Benefit and Payment Parameters

On April 18, 2019, the Centers for Medicare and Medicaid Services (CMS) released the final annual Notice of Benefit and Payment Parameters for the 2020 benefit year, also known as the 2020 Payment Notice.  The rule reduces user fees for plans offere...