Distance Learning Center

Educating and Connecting the Health Law Community.

Medicare Advantage Risk Adjustment: Legal Issues for MA Plans, Providers, and Vendors - On Demand Recording

Recorded On: 06/25/2020

Time: 90 minutes
Session Format: On Demand Recording
CLE Credit Available:  No

We do not apply for CLE credit or issue CLE certificates for our past programs and webinar recordings. Please check with your State Bar as to whether self-study credits can be awarded - CLE credit may be obtained by applying directly to the attorney’s state accrediting body, but approval is not guaranteed and is at the discretion of said accrediting body

For on-demand webinar recordings, streaming access is available for 12-months from the date of the live webinar.  After 12-months, on-demand webinar recordings are available through the AHLA Health Law Archive.

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: $99
  • Non-AHLA Member: $149

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

Heidi A. Wendel

Attorney At Law

Wendel Law
New York, NY
Bio


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