Learn how CMS plans to enhance its risk adjustment data validation auditing efforts for Medicare Advantage (MA) plans and recover overpayments.
With risk adjustment’s impact on reimbursement, review tips for accurate coding, compliant documentation, and timely responses.
This week’s Medicare updates include new guidance on hospital price transparency requirements, updated HCPCS code lists for various discarded drug policies, and more!
Learn how HIM professionals can leverage data related to social determinants of health (SDOH) to improve patient care and secure proper reimbursement.
CMS is seeking feedback on potential policy changes ahead of the third cycle of negotiations under the Medicare Drug Price Negotiation Program.
Identify key challenges and concerns tied to the implementation of new CDI technologies across health systems.