Beginning Feb. 2023, CMS changed audit methodology in RADV audits. Physician practices that participate in risk-sharing contracts can expect an increase in RADV audits. With a goal to reduce overpayment and improve accuracy of ICD-10 coding, these changes will likely extend the scope of physician liability for those who are parties to value-based contracts.

Play this webinar to learn what’s changing and how to avoid upcoding, recoupment, and possible false claim charges.

Best Bits

• Impact of the final rule
• Physician documentation best practices
• A case study
• Common issues found in RADV audits

Learning Objectives

Upon completion of this program, participants should be able to:

• Recognize how insufficient or incomplete documentation increases compliance risk and impacts revenue
• Discuss CMS changes in audit methodology in RADV audits and their impact on physician liability

ACGME/ABMS Competencies

This program addresses the following desirable physician attributes: interpersonal and communication skills, professionalism, systems-based practice, and roles/responsibilities.

Recorded: April 3, 2023
Released: April 24, 2023
Expires: April 25, 2026