CMS is Changing the Medicare Advantage Risk Adjustment Model… Will Your 2021 Revenue Be Impacted?

Plan should start to take steps now to determine the impact of the blend and model change in the 2021 Advance Notice to their risk scores and revenue, and mitigate potential adverse impacts of the…

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OIG Cracks Down on Chart Reviews in Medicare Advantage Risk Adjustment

The Office of Inspector General (OIG) report on the use of chart reviews in Medicare Advantage risk adjustment raises a number of concerns for Medicare Advantage Organizations (MAOs). How can plans…

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