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Posts Tagged Medicare Advantage risk adjustment

Home → Tag: Medicare Advantage risk adjustment

No-cost Risk Adjustment Summary Assessment For Health Plans | Reduce the Risk, Cost & Aggravation of an OIG Audit

On July 12, 2023   /   Risk Adjustment  

The Department of Health and Human Services, Office of Inspector General (OIG) continues to actively audit Medicare Advantage Risk Adjustment programs, with a focus on diagnosis codes at “high risk of being miscoded.” Between Feb. 2021 and May 2023, OIG issued 25 audit reports that uncovered significant

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How to Achieve a High-Performing Risk Adjustment Member Engagement Strategy: 4 Steps to Take Now

On June 19, 2023   /   Risk Adjustment  

A high-performing risk adjustment member engagement program is crucial for healthcare organizations to accurately assess and document the health status of members. Here are four steps for health plans to take now that will enhance risk score accuracy, improve care coordination and achieve better outcomes. Clearly Identify

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