In Light of COVID-19, Overcommunication is Necessary

Since COVID-19 surfaced, consumers have been bombarded with media coverage about the spread of the pandemic, most of which has been less than positive. Medicare beneficiaries are extremely vulnerable right now, and they need a voice of reason. As a health plan, you can be that voice.

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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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