RADV Impact on Providers Question Title * 1. Which of the following best describes how your current risk-sharing contracts address CMS RADV audit adjustments? Contracts are silent on CMS adjustments Contracts reference CMS adjustments generally Contracts explicitly exclude RADV liability Contracts explicitly include RADV liability Unsure of contract RADV provisions Question Title * 2. Does your organization have administrative processes to ensure diagnosis codes are only submitted when conditions are currently active (e.g., cancer codes only when patient has active cancer, not history of cancer)? Yes, comprehensive processes with regular audits Yes, basic processes in place Some informal practices but not standardized No formal processes currently Unsure of current processes Question Title * 3. What best describes your organization's current preparation for potential RADV audit recoupments from Payment Years 2018-2024? Quantified exposure and set reserves Estimated exposure, no reserves yet Currently assessing exposure Haven't assessed exposure Don't expect significant exposure Question Title * 4. How well does your organization follow HHS Office of Inspector General (OIG) audit guidelines for Medicare Advantage documentation and coding? Fully compliant with OIG guidelines Mostly compliant with minor gaps Somewhat compliant, working on improvements Limited compliance with OIG guidelines Unsure of OIG guideline requirements Done