Tag Archives: risk score

Best Practices to Manage the CMS Risk Adjustment Timetable

Paying close attention to deadlines and changes in regulations can help your plan avoid costly adjustments as CMS calculates the risk scores that determine a Medicare Advantage member’s premium based on the data that you submit through both Risk Adjustme Continue reading

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Federal Audits Of Medicare Advantage Reveal Widespread Overpayments

CMS Seems Loathe to Reveal the Data Four Medicare Advantage audits were recently revealed courtesy of a Freedom of Information Act lawsuit filed by the Center for Public Integrity (CPI), adding to growing concern that yet more significant billing errors … Continue reading

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