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amid healthcare reform, ACA risk stabilization goes on

While the House and Senate attempt to re-write healthcare policy, the pressing problems that the Affordable Care Act (AC...

step up your game: how to improve risk adjustment coding accuracy

The Office of Inspector General (OIG) sets the bar for coding accuracy at 95 percent, but you can’t achieve that goal wi...

the 2018 final payment notice: the top four takeaways

After listening to public comments, the Centers for Medicare & Medicaid Services (CMS) has released its Final Notice for...

RISE to the occasion: quality, risk adjustment, payers, and providers converge

Although its Nashville location remains the same, the Annual RISE Summit continues to grow in size and importance each y...

the art and science of handling Medicare risk adjustment coding “gray areas”

While the Centers for Medicare & Medicaid Services (CMS) has guidelines in place for Medicare risk adjustment coding, th...

the 2018 advance payment notice: what you need to know

Health plan executives across the country have a lot of planning to do now that the 2018 Advance Payment Notice for Medi...

how to support successful MRA through medical record retrieval

You have many choices to make when it comes to how your health plan will conduct Medicare Risk Adjustment (MRA). Among t...

streamlining medical record retrieval to ensure program efficiency

For health plans and other healthcare organizations, quality measurement, risk adjustment, and reporting requirements gr...

how risk adjustment and predictive models drive effective value-based care

Healthcare technology is constantly evolving and improving. Although risk adjustment and predictive models have long bee...

planning ahead: tactics for success in commercial risk adjustment

The Centers for Medicare & Medicaid Services (CMS) released its 2015 Payment Transfer Report on June 30, 2016. Now that ...

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