CMS assumes plans have perfect data ready for the RAPS to EDS shift, but what are the real world effects of CMS' 0% Encounter data transition? Episource explores the implications of the 2022 Advance Notice on MA and dual-program enrollees.
On Monday, September 14th, CMS released their annual Advance Notice three months earlier than what has come to be expected. This is a move, that even though it was offered as a possibility, is one more unprecedented occurrence for 2020.
Episource's Director of Risk Adjustment & Payer Solutions, Meleah Bridgeford, reviews CMS' 2021 Rate Announcement and its effects four months into a public health emergency. How has COVID-19 affected EDS Percentages, Coding Trends, and Increased HCCs?
With the recent changes to the existing risk adjustment model and the higher percentage of encounter data that will make up risk scores, health plans are now focused more than ever before on ensuring they’re prepared to secure the same RAF. To assist in your preparations, our Vice President of Client Services gives you the insight on the top priorities you should consider before making important vendor decisions.
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