Risk adjustment: 4 strategies as CMS increases RADV audits

The Centers for Medicare & Medicaid Services (CMS) has introduced what it calls an “aggressive” approach to Medicare Advantage Risk Adjustment Data Validation (RADV) audits, aiming to review every Medicare Advantage (MA) contract annually and expedite the backlog of audits for payment years 2018 through 2024. This shift, following up on CMS’s previ...

• Published date: 10-06-2025 02:13 PM