The CMS has announced a final rule to update the HHS risk adjustment data validation program with amendments to the error rate calculation methodology and how the HHS-RADV results are applied. The rule modifies how medical conditions within the same hierarchical condition category coefficient estimation groups are grouped to determine failure rates, among other changes, and it applies the HHS-RADV results to adjust the risk scores and transfer amounts for the benefit year being audited instead of for the subsequent benefit year, as was the previous practice.
CMS issues rule on HHS risk adjustment data validation
Sign up for DiabetesPro SmartBrief
News for diabetes health professionals
Get the intelligence you need: news and information that is changing your industry today, hand-curated by our professional editors from thousands of sources and delivered straight to your inbox.