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

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

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

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