Get insights into what the CMS Final Notice means for Medicare Advantage plans with this easy to reference overview of the changes

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We have transformed the Health Assessment to make it radically more efficient and precise

Data strategies to identify target populations and launch targeted interventions

Claims Data Validation — the art and science of comparing diagnostic information from within the medical record to existing diagnoses received from providers on claims — is an essential part of any organization’s Risk Adjustment efforts.

CMS has officially started the transition from RAPS to EDPS

On April 4th, 2016, CMS released the Medicare Risk Adjustment Final Announcement and Call Letter for the Calendar Year 2017.

Tim Buxton, Director of Coding Services

There are a number of key elements, which both provider and coder should bear in mind when applying ICD-10-CM diagnostic codes to the field of Behavioral and Mental Disorders.

Tim Buxton, Director of Coding Services

The General Equivalence Mappings (GEMs) cannot be relied upon for complete and accurate coding