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Medicare Advantage Updates

Medicare Advantage Enrollment Update – March 2018

Learn about the top organizations, biggest enrollment changes, and year-over-year growth

Risk Adjustment

Medicare HCC Prevalence by Specialty

Increase success rates of your programs. Discover which specialists are diagnosing which HCC codes with this interactive dashboard

Risk Adjustment

CMS Final Call Letter 2019

CMS Just Published the Announcement of Calendar Year (CY) 2019 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies and Final Call Letter

Medicare Advantage Updates

Medicare Advantage Enrollment Update – February 2018

Learn about the top organizations, biggest enrollment changes, and year-over-year growth

Risk Adjustment

Three Questions to Ask Before Signing a New Coding Vendor

When someone drops the ball, it’s time to find a new coding vendor — but how do you minimize risk? These are the three questions you should be asking your (potential) coding vendors.

Risk Adjustment

CMS Advanced Notice Part II

The CMS Advanced Notice Part II was released

Risk Adjustment

CMS Extends 2016 DOS Deadline for RAPS Submissions

A Three-Month Window Is Now Open to Ensure Your Health Plan Captures All HCC Value

Risk Adjustment

CMS 2019 Advance Notice

The 2019 Advance Notice will be published in two parts this year due to requirements in the 21st Century Cures Act

Prospective Assessments

Increasing HRA Effectiveness

How Health Plans Can Improve the Efficacy of This Important Tool

Risk Adjustment

Not All Coding Is Created Equal

The Nuances of HCC Coding — and the Necessity for Precision — Are More Important than Some Health Plans May Realize, Especially with Coming Changes Mandated by the 21st Century Cures Act

Risk Adjustment

Best Practices to Cure a Common Chart-Retrieval Ailment: Provider Noncompliance

When Providers Don’t Participate in Medical Record Retrieval, Retrieval Projects Suffer. But Strategies Exist to Mitigate the Ill Effects of Noncompliant Providers. Is Your Vendor Capable of Implementing Them?

Risk Adjustment

Effective Provider Outreach — The Linchpin for Successful Medical Record Retrieval

Key Questions to Ask Your Retrieval Vendor about their Provider Outreach Strategy

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