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602 – The Risks of Risk Adjustment Reviews: Enforcement Trends and Litigation Involving Medicare Advantage Risk Adjustment Practices

Learning Objectives:

  • In the last year, DOJ has proclaimed Medicare Advantage to be a prime enforcement target. 
  • While DOJ has suffered setbacks, they are primed to attack Medicare Advantage providers’ practices with respect to auditing or reviewing risk adjustment scoring — both civilly and criminally. 
  • This panel will discuss recent enforcement trends, where courts are lining up on interpreting key regulations, and what all this means for Medicare Advantage providers looking to navigate this high-stakes and ever-changing landscape.


  • Rachel Alexander, Partner, Wiley


11:30 am - 12:30 pm


Feb 03 2021

Local Time

  • Timezone: America/New_York
  • Date: Feb 03 2021
  • Time: 12:30 pm - 1:30 pm