Last week, on September 25, 2025, Judge O’Connor in the U.S District Court for the Northern District of Texas ruled in favor of Humana (the Humana Decision) and vacated the Centers for Medicare & ...
The Centers for Medicare and Medicaid Services (CMS) issued a final rule on the use of extrapolation to determine overpayments in risk adjustment data validation (RADV) audits of Medicare Advantage ...
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