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
- Payers, Plans, and Managed Care
- Hospitals and Health Systems
Rachel A. Alexander
McDermott Will & Emery
Nicholas Paul * (Pending Approval)
Supervising Deputy Attorney General
Attorney General’s Office