Spotlight on Medicare Risk Adjustment

May 2, 2017 11:45am

Julie Nielsen
Managing Director
Berkeley Research Group, LLC

One of the biggest legal and financial threat to Medicare Advantage plans involves allegations of false submissions of risk adjustment data to CMS under Medicare Risk Adjustment. In this session, learn about the regulatory compliance and False Claims Act litigation risks that Medicare Advantage plans face, get an update on the current landscape of regulatory oversight and ongoing qui tam cases, and discuss best practices for ensuring data integrity and minimizing compliance risk.