Shifts in the risk adjustment landscape have put greater emphasis on the accuracy of diagnosis data. One of the main strategies deployed by managed care organizations is to build out robust two-way retrospective coding programs that add missing ICD10 diagnosis codes and delete erroneous ICD10 diagnosis codes.
Read More →On August 8, 2022, CMS issued an HPMS memo entitled, “Transfer of Submitted Multi-Plan Marketing Materials.” The memo announced CMS updates to the HPMS Marketing Module to allow third-party marketing organizations (TPMO) to transfer previously submitted multi-plan marketing materials to another consultant user when the original submitter
Read More →On July 21, 2022, the Centers for Medicare and Medicaid Services (CMS) released the nationally standardized Home and Community-Based Services (HCBS) quality measure set. This is a voluntary quality measure set to support states in their efforts to promote health equality among those with disabilities and older adults enrolled
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