3 key risk adjustment strategies to drive success in 2024
Cotiviti examines three strategies to improve risk adjustment outcomes for Medicare Advantage plans in 2024 and beyond.
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Commercial and Medicare Risk Adjustment
Improve your prospective and retrospective risk adjustment results with these resources from Cotiviti, including white papers and articles written by our senior risk adjustment experts.
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Quality Decoded%%Attend our 4/25 webinar breaking down the CMS Final Rule
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Key risk adjustment trends to watch in 2024 and beyond
Watch our on-demand webinar as we explore strategies to leverage digital data effectively and enhance your risk adjustment efforts in 2024.
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3 interoperability updates for payers in 2024
Cotiviti breaks down three key updates for payers to track as TEFCA comes to life in 2024.
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3 takeaways from the 2025 Advance Notice
Learn how the 2025 CMS Advance Notice will impact Medicare Advantage risk adjustment and Star Ratings.
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Podcast: Enhancing interoperability for better risk and quality outcomes
Listen to the RISE Radio podcast and learn how interoperability supports risk adjustment and quality improvement programs.
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Forging ahead after the Medicare Advantage RADV Final Rule
Here are three strategies Medicare Advantage plans should consider in light of the RADV Final Rule released by CMS in January 2023.
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OIG risk adjustment compliance audit showcases 3 clear takeaways
Amid OIG scrutiny of Medicare Advantage risk adjustment coding practices, Cotiviti offers three takeaways for plans looking to strengthen their programs.
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OIG report highlights beneficiary protections as Medicare Advantage program grows
As OIG raises concerns about beneficiaries' access to care, purposeful, informed decision-making will drive successful financial and clinical results for Medicare Advantage plans.
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Medicare Advantage risk adjustment in 2022: Driving to fierce and focused
Learn the three key areas that Medicare Advantage plans should bolster within their risk adjustment programs to excel in today's competitive environment while helping ensure premium accuracy.
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Tips from RISE National 2022 for risk adjustment success
RISE co-chair RaeAnn Grossman explains how Medicare Advantage plans can limit audit exposure and offers other risk adjustment advice for 2022.
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5 takeaways from the 2023 Medicare Advantage and Part D Final Rate Announcement
Medicare Advantage plans will see a major 8.5% increase in revenue from the final 2023 Medicare Advantage and Part D Rate Announcement released by CMS.
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CMS 2023 Advance Notice: Health equity takes center stage
Cotiviti leaders break down the 2023 Medicare Advantage and Part D Advance Notice as CMS prioritizes health equity measurement.
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RISE Webinar: Uniting risk adjustment, HEDIS, and Stars
Learn a "next best action" approach to analytics at the member level with the potential to deliver tangible impact for both risk adjustment and quality improvement programs.
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CMS 2022 Advance Notice: 4 key takeaways for MA plans
The public comment period has just closed for the calendar year (CY) 2022 Medicare Advantage (MA) and Part D Advance Notice recently released by the Centers for Medicare & Medicaid...
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The evolution of DxCG, the gold standard in risk adjustment and predictive modeling
Updated in 2022 for DxCG's 25th anniversary, this is the story of the birth and evolution of one of the earliest and most accurate risk assessment and predictive modeling solutions in the industry.
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Suspect Analytics solution
Effectively identify members with suspected but potentially undocumented conditions
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Medical Record Retrieval solution
Improve risk adjustment and quality results while reducing provider disruption
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Medical Record Coding solution
Accurately capture and document risk adjustable conditions
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