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Tag Archives: funding
“Removals” is not a bad word!
“You are leaving money on the table” is a common phrase Medicare Advantage providers hear from some auditors and even health plans regarding members’ risk scores. And that might be true. Some risk adjusted diagnoses may have fallen through the … Read Full Post
Tagged funding, mra, removals, risk adjusted reimbursement, risk adjustment
Why Is July Relevant for MRA?
Risk adjusted reimbursement is based on the health status of the patient as summarized by certain ICD-10-CM codes reported by the provider. The reporting timeframe is twice per year in order to maintain stable funding; PCPs should assess, document and … Read Full Post
Tagged funding, mra, risk adjusted reimbursement