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?
Tag: Medicare Advantage
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,…