Retrospective risk adjustment is running out of road
Roughly two-thirds of Medicare’s improper payments1 trace back to missing or insufficient documentation. For a decade, the industry’s answer has been to fix that downstream in the form of better queries, faster attestations, and bigger appeal teams. Now that CMS excludes the diagnoses those queries produce and the DOJ is prosecuting the programs that lean […] The post Retrospective risk adjustment is running out of road appeared first on Becker's Hospital Review | Healthcare News &...
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