CMS' Long-Awaited Medicare Advantage RADV Final Rule: Significant Changes to Audit Methodology
Best Practices for Responding to and Challenging RADV Audit Findings
A live 90-minute CLE video webinar with interactive Q&A
This CLE webinar will guide healthcare counsel on Centers for Medicare & Medicaid Services' (CMS) long-awaited Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) final rule. The panel will discuss the significant changes to the 2012 audit methodology for the MA RADV program. The panel will offer insights and best practices for responding to and challenging RADV audit findings.
Outline
- RADV final rule
- Changes to audit methodology
- Best practices
- Responding to audits
- Challenging audit findings
Benefits
The panel will review these and other crucial questions:
- How does the final rule change the audit methodology?
- What can MA organizations and healthcare providers do to prepare for potential audits?
- What are the best practices for MA organizations and providers to challenge audit findings?
Faculty
Ankur J. Goel
Partner
McDermott Will & Emery
Mr. Goel represents health insurers and other health industry clients on a wide range of issues including complex... | Read More
Mr. Goel represents health insurers and other health industry clients on a wide range of issues including complex business strategy, compliance, regulatory, enforcement, litigation and other matters. He has extensive experience with government healthcare programs, including Medicare Advantage, Medicare Part D, Medicaid, and the health insurance exchanges. Before entering private practice, Mr. Goel was a federal healthcare fraud prosecutor in the Attorney General’s Honors program and counsel to the U.S. Senate Judiciary Committee, under then-Chairman Joseph R. Biden, Jr.
Close
Brian R. Stimson
Partner
McDermott Will & Emery
Mr. Stimson is the former Acting General Counsel and Principal Deputy General Counsel for the U.S. Department of Health... | Read More
Mr. Stimson is the former Acting General Counsel and Principal Deputy General Counsel for the U.S. Department of Health and Human Services (HHS) in Washington, DC. As part of his practice, Mr. Stimson counsels clients on how to navigate disputes that present overlapping legal, regulatory, public policy and business considerations. His collaborative and pragmatic approach draws on his work as a high-level HHS official and a litigator. Over the past two decades, Mr. Stimson has also represented health clients in litigations, arbitrations, and government investigations that implicated the FCA, the Medicare and Medicaid programs, the ACA, the Public Health Service Act, ERISA, the Federal Arbitration Act, and the Class Action Fairness Act of 2005.
Close