BC Advantage - 2020 Issue 4

CMS Suspends Contract-Level RADV Audits Temporarily

On March 30, 2020, the Centers for Medicare and Medicaid Services (CMS) announced to all of the Medicare Advantage Organizations and Part D Sponsors that effective immediately, it is suspending contract-level RADV audits, related to the payment year 2015 and will not initiate any new ones until after the public health emergency has ended. This is another example of how the federal government is trying to ease the burdens of providers and payers tasked with the main responsibility of providing healthcare and coverage, respectively, for hundreds of thousands of U.S. citizens affected by COVID-19. However nice this...

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