Risk Adjustment Rules – medicarereport.org

A trusted source for Medicare news and education from the AMAC Foundation.

CMS HHS Medicare Advantage

HHS: Medicare Advantage audits, risk adjustment changes are not funding cuts

(By Rylee Wilson for Becker’s Hospital Review ) Medicare Advantage audits are “unequivocally not cuts” in funding, HHS says. In

Eileen Cook February 21, 2023February 21, 2023 audits, CMS, Funding Cuts, HHS, Medicare Advantage, Risk Adjustment Rules

CMS Medicare Advantage

Insurers that face the largest potential Medicare Advantage payment clawbacks

(By Jakob Emerson for Becker’s Hospital Review ) The nation’s largest insurers are gearing up for upcoming changes to Medicare

Eileen Cook January 25, 2023 CMS, Medicare Advantage, Risk Adjustment Rules, Upcoding