Join us on June 20 at 7 a.m. CT (8 a.m. ET) for another #CME #webinar: A provider's role in risk adjustment and value-based care. Register now: https://hubs.li/Q02zrd150
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Future of risk adjustment lies in precision, accuracy, and a commitment to delivering optimal care to every patient. #medicalbilling #outsourcemedicalbilling #medicalbillingservices #outsourcemedicalbillingservice #medicaltranscription #outsourcemedicaltranscription #paymentposting #outsourcepaymentposting #claimsubmission #outsourceclaimsubmission #denialmanagement #outsourcedenialmanagement #insuranceverification #eligibilityverification #insuranceeligibilityverification #outsourceeligibilityverification #outsourceinsuranceeligibilityverification #outsourcehospitaltranscription #outsourceradiologytranscription #outsourceradiologystattranscription #emr #emrdataintegration #emrdatamaintenance #emrdatamanagement #ehr #ehrdataintegration #ehrdatamaintenence #ehrdatamanagement
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Does your ACO's Medicare Advantage contract have Benefit Enhancement language? ACO's typically do not have a seat at the table as benefit changes are made. ACOs can protect themselves with language that allows them to contest benefit changes that materially alters their ability to perform against the contract. Scott Malan explains this protection in this short clip. Check out the full conversation on provider risk contracting - https://lnkd.in/e_wKNVju
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No further changes are expected to be made to the Strengthened Quality Standards, and providers should already be working towards transitioning their services in preparation for the go-live date of 1 July 2025, as confirmed by the Department of Health and Aged Care. In this blog, Quality, Risk, and Compliance Lead Katie Airey highlights why you should start now and the risks associated with delaying your transition: https://hubs.la/Q02FMn8Y0 #MakingAgedCareBetter #AgedCareAustralia
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Great article on the new risk adjustment recommendations by my PwC colleagues. I appreciate the call out about care management programs taking full advantage of new V28 rules by analyzing a blended medical loss ratio and targeting those in need of immediate enhancements. Care management solutions that offer robust analytics will come out ahead in future. Read on to learn more! Kudos to Mike Lee Derek Skoog Nate Jacoby, ASA, MAAA
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Maximizing ACO Risk Adjustment Strategies in 2024 📈 The significance of accurate risk adjustment cannot be overstated. It ensures equitable payment models by accounting for patient complexity, health conditions, and risks, fostering financial stability, and encouraging comprehensive care delivery within ACOs. Read more here: https://okt.to/UDb68d #accountablecare #MSSP #acoreach #acos
Maximizing ACO Risk Adjustment Strategies in 2024 - Acclivity Health
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Navigating the Future: Unleashing RADV Resilience! 🌐✨ From Risk Optimization to Unique M.E.A.T. Validation, discover the secrets of reducing exposure while elevating accuracy and efficiency in healthcare documentation. 🚀🩺 #RADVResilience #HealthTechInnovation #RiskManagementRevolution
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Enhance your provider network compliance monitoring with the CMS Medicare Advantage Network Adequacy audit checklist from Quest Analytics! Evaluate your process and uncover room for enhancement. Access the checklist here: https://okt.to/9mGLSE #QuestForSuccess
CMS Medicare Advantage Network Adequacy Audit Checklist
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Is your healthcare organization looking for guidance on how to avoid unclaimed property issues? Join me for a discussion about factors that complicate unclaimed property compliance and how to mitigate risk. Register here: https://lnkd.in/eYhyATyG
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As a health plan facing RADV and OIG audits, it's time to strengthen your risk adjustment strategies. Join Cotiviti's experts on Thursday, August 15, at 1:00 pm ET for a webinar on integrating internal and external innovations to strengthen risk adjustment results and compliance. Learn how to address resource constraints, integrate new technologies, and leverage industry insights to improve data accuracy and efficiency. Don't miss this opportunity to learn valuable knowledge from our experts, Tracey Bradberry, Katie Devlin, DHSc, MS, CPHIMS, and Katie Koester Sender! Register for the webinar. https://bit.ly/4c7v3Sz #RiskAdjustment #HealthPlans
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Is your healthcare organization looking for guidance on how to avoid unclaimed property issues? Join me for a discussion about factors that complicate unclaimed property compliance and how to mitigate risk. Register here: https://lnkd.in/evE4Y3md
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