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Leverage RAAPID as Your Trusted HCC Coding Service Provider for VBC
In the ever-evolving landscape of healthcare, health Plans are constantly seeking efficient and reliable solutions to improve their risk adjustment efforts. Accurate hierarchical condition category...
View ArticleHow Health Plans Can Reduce Audit Risk with NLP-powered Retrospective Solution
In the complex healthcare landscape, where regulatory oversight is rigorous and financial risks loom large, health plans face an increasingly challenging task: managing audits. These audits, conducted...
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Navigating the Complexities of Medicare Risk Adjustment for Health Plans
The Medicare Risk Adjustment landscape is a complex one, with health plans constantly striving to ensure accuracy in their HCC chart audits. This is not just about compliance; it’s about the...
View ArticleCMS Proposed Rule for 2025 MA, Prescription Drug Plans
The Centers for Medicare & Medicaid Services (CMS) recently unveiled a comprehensive CMS proposed rule for the 2025 Medicare Advantage (MA) and Prescription Drug Plans. This pivotal move aims to...
View ArticleAdapting to Change: Health Plans and the 2024 Medicare Advantage Star Ratings
The release of the 2024 Medicare Advantage Star Ratings marks a critical juncture for health plans participating in Medicare Advantage (MA). These ratings, published annually by the Centers for...
View ArticleEmbracing CMS-HCC Model V28: A Strategic Approach for Health Plans by RAAPID
As the healthcare landscape evolves, the transition to the CMS-HCC (Hierarchical Condition Category) Model V28 represents a significant shift for health plans. RAAPID, a pioneer in healthcare...
View ArticleCMS Risk Adjustment Submission Deadline 2024: How Health Plans can leverage...
The Department of Health & Human Services, on May 5, 2023, communicated to the Centers for Medicare & Medicaid Services (CMS) about instituting an “Interim Final Run” that relies on data...
View Article2024 Sweeping Changes to Medicare Advantage Risk Adjustment for Health Plans
CMS UNVEILS THE PROPOSED FINAL RULE FOR MEDICARE ADVANTAGE IMPACTING HEALTH PLANS, PROVIDERS & PATIENTS.The 724-page final rule was published in the Federal Register on April 12, and the primary...
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Deciphering HCC Risk Adjustment Models in A Nutshell
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View ArticleCMS Unveils Proposed Changes for 2025 in Medicare Advantage and Part D...
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