David Robbins

David Robbins

Perkins Coie

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New CMS Rule Requires Extrapolation of Medicare Advantage RADV Audit Findings

The Centers for Medicare and Medicaid Services (CMS) published its final rule regarding the Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) program in early February 2023. Among other matters, the final rule...more

2/15/2023  /  Audits , Centers for Medicare & Medicaid Services (CMS) , Compliance , Department of Health and Human Services (HHS) , False Claims Act (FCA) , Medicare Advantage , Medicare Advantage Organizations (MAOs) , New Rules , Required Documentation , Risk Adjustment Formula

Hospitals Provided Temporary Relief In Medicare Rebilling Policy

The Centers for Medicare & Medicaid Services (CMS) released a ruling and an interim rule that, effective immediately, will allow hospitals to rebill certain inpatient hospital services as outpatient services for one year...more

3/21/2013  /  American Hospital Association , Audits , Billing , Centers for Medicare & Medicaid Services (CMS) , Hospitals , Medicare
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