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Redefining Readiness: Turning Medicare Advantage Audit Pressure into Performance

White Paper

The Centers for Medicare & Medicaid Services (CMS) have started annual Risk Adjustment Data Validation (RADV) audits for all 550+ Medicare Advantage plans, up from just 60 per year. With this expanded oversight, CMS aims to recover up to $43 billion annually in improper payments, marking a new era of regulatory intensity for MA plans.

Download the white paper below to learn how RAM Health helps Medicare Advantage plans improve their processes by integrating compliance, automation, and scalability through our HEALTHsuite Advantage™ platform and BPaaS model, enabling proactive audit readiness and operational excellence.

Read our new white paper: Turning Medicare Advantage Audit Pressure into Performance.

About RAM Health

RAM Health is a leading provider of enterprise solutions for government-sponsored healthcare payers. For over 44 years RAM Health has led the way in the creation of comprehensive, end-to-end SaaS and BPaaS solutions for health plans administering Medicare Advantage, Managed Medicaid and Special Needs plans. Our deep understanding of Medicare and Medicaid guarantees seamless integration and operational ease, allowing health plan staff to focus on what matters most. To learn more about RAM Health visit www.ramhealthinc.com.

Media Contact

Robert Meyer, RAM Health, rmeyer@ramhealthinc.com, www.ramhealthinc.com

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