Distance Learning Center

Educating and Connecting the Health Law Community.

Medicare Advantage Risk Adjustment: Legal Issues for MA Plans, Providers, and Vendors

Includes a Live Event on 06/25/2020 at 2:00 PM (EDT)

Time: 2:00-3:30 PM Eastern (90 minutes)
Session Format: Live Webinar
CLE Credit Available:  Yes

In most states, AHLA webinars meet the requirements for continuing legal education and attorneys may self-apply for CLE credit. AHLA’s live distance learning webinars are pre-approved for CLE credit in the following states: Alabama, Illinois, Nebraska, New Jersey, Pennsylvania, South Carolina, Texas, Virginia and West Virginia. Please refer to Distance Learning CLE reporting procedure for more information.

Topic: The topic will be Medicare Advantage risk adjustment legal risks and compliance strategies.

The webinar will address legal issues for MA plans, providers, and vendors from the Medicare Advantage risk adjustment payment structure. We will provide an overview of recent case law affecting legal obligations and best practices for MA plans, providers, and vendors. This case law, which is primarily under the False Claims Act, creates potential liability for MA plans and their contracted providers and vendors who submit or facilitate the submission of diagnosis codes. We will discuss best practices and compliance considerations for MA plans, providers, and vendors as they navigate this uncertain regulatory and legal environment. We will also provide an update on current risk adjustment CMS guidance and address open policy questions where we expect the agency to provide future guidance.

Level of Difficulty: Intermediate

  • AHLA Member: Pricing Automatically Populated Based on AHLA Membership Level
  • Student: $100
  • Non-AHLA Member: $199

Content Lead:

  • Payers, Plans, and Managed Care

Partner(s):

  • Hospitals and Health Systems

Rachel A. Alexander

Partner

Wiley
Bio

Jeremy Earl

Partner

McDermott Will & Emery
Washington, DC
Bio

Brandon Moss

Partner

Wiley Rein
Bio

Edward Baker

Partner

Constantine Cannon
Bio

Nicholas Paul * (Pending Approval)

Supervising Deputy Attorney General

CA DOJ

Attorney General’s Office

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