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Exceptional Coders | Innovative Technology

Proposed CMS Risk-Adjustment Changes Could Lower Medicare Advantage Revenue

Posted by David Fong on Mar 9, 2018 12:30:00 PM

Modern Healthcare reported in a recent article that health insurer and provider groups were complaining about the CMS' proposal to use more patient encounter data to determine Medicare Advantage plans' risk scores in 2019, saying the data could reduce payments for plans.

Topics: Medical Coding, HCC Coding, Outsourcing, Risk Adjustment