A Revenue Integrity Series I Paper No. 2 If your Medicare Advantage plan has not yet begun preparing for a Risk Adjustment Data Validation (RADV) audit, the clock is no longer just ticking - it is running. CMS has fundamentally transformed its audit program, and 2025 and 2026 represent the most consequential compliance period in the history of Medicare Advantage risk adjustment. This is not a drill. It is not a warning of something that might happen. It is already underway. W