There's more work to be done, but the new rules simplified documentation and coding criteria and should result in increased revenue. Change is difficult, regardless of how much it's needed. Learning a ...
Differential coding in MA plans results in higher risk scores and increased payments compared to TM, with significant insurer variation. UnitedHealth Group's risk scores were significantly higher than ...
Differential coding by Medicare Advantage plans appeared to have pushed their risk scores higher than traditional Medicare's scores. Those greater risk scores led to $33 billion in extra revenue for ...
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