Are You RADV Audit Ready? Three Strategies to Get You There
The Centers for Medicare and Medicaid Services (CMS) recently announced plans to ramp up its risk adjustment data validation (RADV) audit program in 2020 based on a recent study by…
Concurrent Coding Review for Risk Adjustment โ Why โCleaning As You Goโ Works in Healthcare, Too
If youโve ever worked in a restaurant or commercial kitchen โ you know one of the golden rules is to โClean as You Go.โ Employing a โClean As You Goโ…
Itโs Working – CMS Report Concludes the Effectiveness of Risk Adjustment
In late June, the Centers for Medicare & Medicaid Services released data demonstrating that its Risk Adjustment Program โ developed as part of the Affordable Care Act just five years…
The #1 Most Critical Driver in the Successful Adoption of Shared Risk Programs
The unavoidable shift toward value-based and two-sided risk payment models is here to stay โ and while the benefits are countless, the journey thus far has been slow and somewhat…
Strategies for Mastering Two-Sided Risk
Population health and the transition to two-sided risk is no easy feat โ itโs a monumental shift in the way providers, payers and hospitals think about the delivery of health…