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CMS RADV Extrapolation Methodology: In English

Cognisight presented "CMS Risk Adjustment Data Validation (RADV) Extrapolation Methodology: In English" at the National PACE Association’s 2013 Annual Conference. The extrapolation methodology applied by CMS on Payment Year 2011 was broken down to easily understand how the formula works and its important implications. Insights on how to incorporate the methodology into your own internal controls/audit processes were also provided.

Specific learning objectives included:
  • Understanding the sampling and stratification
  • How enrollee weights are used
  • Payment Error Calculation weight breakdown
  • How CMS calculates recovery

To download the presentation slides, please click here.