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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 ...

10 steps to enhance your medicare risk adjustment success

As its beneficiary population continues to expand, the Medicare program faces persistent pressure to do more with less. ...

RISE interviews Verscend experts on the impact of the EDS transition

In its Summer 2016 newsletter, the Resource Initiative and Society for Education (RISE) features an interview with Versc...

how CMS’ medicare advantage final rules could impact your plan

From methodology updates to a new way to segment eligible populations, 2017 offers up some impactful rule changes that c...

the financial impact of 2017 medicare advantage payment rules

In early April, the Centers for Medicare & Medicaid Services (CMS) released its Final Call Letter outlining payment meth...

8 tips for a seamless commercial risk adjustment program

With the implementation of its payment transfer model, The U.S. Department of Health & Human Services (HHS), in conjunct...

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