What Medicare Advantage Organizations Need to Know About RADV Audits in 2026
On January 27, 2026, the Centers for Medicare and Medicaid Services issued an important update clarifying the status
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On January 27, 2026, the Centers for Medicare and Medicaid Services issued an important update clarifying the status
When CMS expanded RADV audits in 2025, Medicare Advantage plans were suddenly exposed to greater scrutiny, tighter deadlines,
Risk adjustment data validation (RADV) audit guidelines represent CMS’s framework for validating Medicare Advantage risk adjustment payments, and
With the recent Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) Final rule update shared by the Centers