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Risk Adjustment Overview Risk Adjustment Data File Risk Adjustment Model Update Encounter Data Files Electronic Data Interchange Resources
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Compliance, Oversight & OIG / CMS Actions

The Future of MA Star Ratings
The Future of MA Star Ratings

What’s changing, when it happens, and how Stars strategy must evolve for 2027–2029

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OIG/CMS ActionsSudeeksha KoricherlaNovember 27, 2025Comment
MPF Provider Directory Update: Draft Released
MPF Provider Directory Update: Draft Released

CMS seeks industry feedback before finalizing Jan 2026.

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OIG/CMS ActionsSudeeksha KoricherlaNovember 14, 2025Comment
CMS Tightens the Bolts on Supplemental Benefit Reporting
CMS Tightens the Bolts on Supplemental Benefit Reporting

Key updates MA plans must implement for CY 2026 compliance.

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OIG/CMS ActionsSudeeksha KoricherlaNovember 14, 2025Comment
CMS Readiness Check: CY 2026 Edition
CMS Readiness Check: CY 2026 Edition

The must-do operational, data, and benefit updates before go-live

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OIG/CMS ActionsSudeeksha KoricherlaNovember 14, 2025Comment
OIG Audit Finds $6.9M in Overpayments
OIG Audit Finds $6.9M in Overpayments

A Wake-Up Call for Medicare Advantage Plans

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OIG/CMS ActionsSudeeksha KoricherlaJune 6, 2025Comment
CMS Delays Shutdown of CSSC Operations Website
CMS Delays Shutdown of CSSC Operations Website

Take a Look at What You Need to Know here

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OIG/CMS ActionsSudeeksha KoricherlaJune 3, 2025Comment
CMS Tightens the Screws on Medicare Advantage
CMS Tightens the Screws on Medicare Advantage

Why AI is the Key to Audit Survival

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OIG/CMS ActionsSudeeksha KoricherlaMay 22, 2025Comment
Optimizing Compliance and Financial Accuracy
Optimizing Compliance and Financial Accuracy

Optimizing Compliance and Financial Accuracy in Medicare Advantage and Manufacturer Discount Programs

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OIG/CMS ActionsSudeeksha KoricherlaApril 1, 2025Comment

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