The Centers for Medicare & Medicaid Services (CMS) released a final rule that takes aim at overpayments and accountability within Medicare Advantage (MA).
Specifically, the rule promises to provide further oversight over MA plans and to recoup any overpayments, Home Health Care News reports. CMS plans to do so through the Risk Adjustment Data Validation (RADV) final rule, which will “restore payment oversight,” according to the agency.
“The commonsense policies finalized in the RADV final rule will help CMS ensure that people with Medicare are able to access the benefits and services they need, including in Medicare Advantage, while responsibly protecting the fiscal sustainability of Medicare and aligning CMS’s oversight of the Traditional Medicare and MA programs,” CMS wrote. Read more.
