Monthly Archives: June 2023
A Moment of Silence for the Sunsetting MRA Program – Part 3
This has been a difficult series of articles for our company, summarizing the 2024 changes to the CMS-HCC risk adjustment model. And we imagine our clients are speechless when considering the financial ramifications to their businesses. If you’ve missed any … Read Full Post
A Moment of Silence for the Sunsetting MRA Program – Part 2
By now, you may have come to terms that MRA, as we know it, is on its way out. If you’re not informed about the changes for 2024, we urge you to read the first installment of this article series. … Read Full Post
A Moment of Silence for the Sunsetting MRA Program – Part 1
Since the CMS-HCC risk adjustment payment paradigm took effect in 2003, our company has seen considerable changes, but this year takes the cake, as they say. Frankly, a moment (or really, a week) of silence would be appropriate to mourn … Read Full Post
MRA & FFS Normalization
This post is parenthetical to the series entitled, A Moment of Silence for the Sunsetting MRA Program. Although Medicare Advantage (MA) and the traditional Medicare program cover the same patients (called members in the former and beneficiaries in the latter), … Read Full Post
Medical Practice Owes for COPD & Morbid Obesity False Claims
Over the years, we’ve written many a blog post on risk adjustment compliance, advising our readers on ways to work successfully with this payment paradigm. And yet, almost every week, the Office of Inspector General (OIG) publishes notices regarding false … Read Full Post
What We’re Reading: Florida Hospitals Must Soon Require Patients to Declare Immigration Status
Beginning on July 1, 2023, Fisher & Phillips reported that any hospital in Florida that accepts Medicaid will need to ask all patients whether they are a U.S. citizen, lawfully present in the country or not lawfully present. The hospital … Read Full Post