Earlier this year we released a white paper, Risk Adjustment Programs Are Under Fire, to detail the noticeable uptick of claims against Medicare Advantage Organizations (MAOs) centering around initiatives that whistleblowers and the government have alleged were aggressive and focused on boosting risk scores. Since then, the enforcement activity has continued to increase, with the government most recently announcing its intervention in whistleblower cases against two different MAOs related to their risk adjustment practices.
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