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The September 25, 2025, court decision vacating CMS’s 2023 RADV Final Rule has created an unexpected strategic window
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
