WALTHAM, Mass.--(BUSINESS WIRE)--Health plans are under greater scrutiny, navigating an increasingly complex regulatory environment. The Centers for Medicare and Medicaid Services (CMS) estimates $4.7 ...

Months after announcing a new program to validate self-reported nursing home quality data, the Centers for Medicare & Medicaid Services has begun notifying providers of their selection.

LEWES, Del., Oct. 21, 2025 (GLOBE NEWSWIRE) -- Martlet.ai, a healthcare AI company spun out of John Snow Labs, today announced the launch of its Risk Adjustment Data Validation (RADV) Audit Readiness ...

On January 30, 2023, CMS posted for inspection a final rule describing its Risk Adjustment Data Validation audit methodology (the Final RADV Rule). As we have discussed in prior alerts, the ...

Compliance and regulations are an increasingly important factor in business processes and operations. In addition to introducing good quality control, these standards demand proven, documented, ...

The Centers for Medicare and Medicaid Services (CMS) is issuing, what will amount to be, very significant Risk Adjustment Data Validation (RADV) Audit notices for PY2018 to Medicare Advantage ...

WASHINGTON, Oct. 30-- America's Health Insurance Plans issued the following statement by President and CEO Matt Eyles on the Centers for Medicare & Medicaid Services' proposal to change position on ...

The Idaho State Capitol building in Boise on March 20, 2021. (Otto Kitsinger for Idaho Capital Sun) Idaho’s new statewide business system lacked a range of information technology controls for data ...

The window for “wait and see” is closing. Companies must have a clear AI adoption road map for finance and audit in 2026.

Idaho’s new statewide business system lacked a range of information technology controls for data validation and security, according to a summary of audits provided to legislative leaders this week.