OIG Cracks Down on Chart Reviews in Medicare Advantage Risk Adjustment

The Office of Inspector General (OIG) report on the use of chart reviews in Medicare Advantage risk adjustment raises a number of concerns for Medicare Advantage Organizations (MAOs). How can plans mitigate risk from chart review submissions and stay compliant with CMS risk adjustment guidelines to ensure complete and accurate reimbursement?

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MA Plans Brace for More Switching During 2020 OEP

The following is an article from AIS Health’s RADAR on Medicare Advantage, a publication dedicated to strategies and analysis for Medicare Advantage, Medicare Part D and Managed Medicaid. Only 4.5% of Medicare…

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5 Ways To Evaluate Your MA Member Experience

The term “member experience” means many things to many people in a Medicare Advantage (MA) plan.  When the Stars team hears the term, they immediately think of the Consumer Assessment of Healthcare…

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The OEP Is Almost Upon US! Are YOU Ready?

January 1, 2020, Medicare Advantage (MA) enrollees have a one-time opportunity to switch their plan, similar to a grace period, and the opportunity ends March 31. Both new MA enrollees and existing…

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