CMS Risk Adjustment Data Validation (RADV) Practice Exam

A corrective action plan in RADV is a structured remediation plan a plan sponsor creates to address data quality or documentation deficiencies found during the RADV review. It outlines what needs to be corrected, the specific actions to take (for example, re-documentation, chart reviews, corrected coding, staff training), who is responsible, timelines, and how the corrections will be verified. The goal is to bring submitted encounter data and supporting documentation into compliance so risk-adjusted payments reflect accurate diagnoses and procedures and to prevent recurrence. It’s a proactive tool for remediation, not a financial penalty, an appeal mechanism without documentation, or a new coding guideline.