Download Slides Are you prepared for heightened scrutiny from the Centers for Medicare & Medicaid Services (CMS)? CMS is dramatically amplifying its audit efforts, with a renewed focus on Medicare Advantage plans and Risk Adjustment Data Validation (RADV) audits. This is not just another day at the office—CMS is expanding its audit workforce, increasing…
Download Slides Accurate coding is extremely important in the era of value-based care. If coding is inaccurate, it can result in significant financial penalties, damage to reputation, and missed opportunities to maximize reimbursements. Additionally, adherence to key compliance requirements and good clinical documentation practices are essential to avoid legal and financial repercussions. Key Takeaways:…
Payers may be prepared to comply with the interoperability rule for the July 1 deadline, but are they ready to adopt healthcare interoperability long-term? For the past couple of years, CMS has pushed the industry to take bigger steps toward standardizing interoperability. “CMS continues to build on its roadmap to improve interoperability and health information…