Which organization is responsible for overseeing the RADV audits?

The Centers for Medicare and Medicaid Services (CMS) is the correct organization responsible for overseeing the RADV audits. CMS plays a crucial role in managing the Medicare and Medicaid programs, ensuring compliance with regulations, and overseeing the financial integrity of these programs. RADV audits are specifically designed to validate the risk adjustment data submitted by Medicare Advantage plans to ascertain the accuracy and compliance of the reported diagnoses.

CMS conducts these audits to help ensure that the data used for risk adjustment is reliable, which ultimately impacts the funding and payment models for Medicare plans. This regulatory oversight is essential to maintain the quality of care and accuracy in the financial management of these programs. The focus on data accuracy helps prevent fraud and ensures that beneficiaries receive the appropriate level of care based on their health status. Other organizations listed, such as the FDA, NIH, and WHO, do not have the responsibility for managing Medicare or Medicaid audits, as their functions pertain to different areas within healthcare, such as drug safety, public health research, and international health guidelines, respectively.