Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid

Risk Assessment

AMGA: Slow Encounter Data Transition in Medicare Reimbursement

February 6, 2017 - The American Medical Group Association (AMGA) recently commended CMS for decelerating the transition to using encounter data as a means for risk-adjusting Medicare reimbursement to Medicare Advantage organizations in 2018. In an announcement last week, CMS revealed that Medicare will continue to determine risk scores using a less aggressive blend of diagnoses from the Risk Adjustment...

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