Risk Adjustment
Advance Notice 2021 - Goodbye RAPS
The 2019 final notice, CMS has advised on the implementation of the 21st Century Cures Act, requires that any changes made be phased in within 3...
Ensure your plan is submitting accurate risk score data.
This presentation covers how risk-bearing organizations can recover lost revenue due to claims leakage by identifying the common causes and ways to remediate them.
Key Takeaways:
- Expectations plans should have for RAPS/EDS reconciliation
- Effectively reconciling submissions in time for sweeps
- Indications of data leakage that affect claims and encounter submissions
- How best to conduct a RAPS/EDS reconciliation audit
- Results of recent RAPS/EDS audits