CLE / CPD
Webinar

The (anticipated) RADV final rule and implications

The Centers for Medicare & Medicaid Services (CMS) published a proposed rule in 2018 relating to Medicare Advantage Risk Adjustment Data Validation (RADV) audits. In that rule, CMS proposed to make significant changes to the RADV audit process that would materially impact Medicare Advantage organizations (MAOs).

After receiving extensive industry comments and delaying the publication of the final rule numerous times, CMS is expected to publish the RADV final rule by February 1, 2023. This webinar will:

  • Analyze the RADV final rule and the industry commentary received;
  • Assess the industry fallout including likely litigation challenging the rule; and
  • Provide strategy insights and best practices to MAOs for responding to and challenging RADV audit findings.

The webinar’s speakers are James Segroves, who has broad experience with respect to the RADV rule making and challenging CMS final rules, and Steve Hamilton, who is experienced in advising government-sponsored managed care organizations, including MAOs and Prescription Dug Plans, on wide-ranging regulatory issues and in litigation.

Important CLE information:

This program is presumptively approved for 1.0 CLE credit in California, Connecticut, Illinois, New Jersey, New York, Pennsylvania, Texas and West Virginia. Applications for CLE credit will be filed in Delaware, Florida, Ohio and Virginia. Attendees who are licensed in other jurisdictions will receive a uniform certificate of attendance but Reed Smith only provides credit for the states listed. Please allow 4-6 weeks after the program to receive a certificate of attendance.

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