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You should capture the full range of a patient’s chronic conditions when coding under a risk-adjustment paradigm because your payments, and ultimately your coding compliance, may be affected. Beef up one crucial part of the process — provider documentation — to strengthen your efforts.
As burnout takes its toll, you may find providers — including those under traditional retirement age — leaving more quickly than you anticipated. Take steps now to smooth their transition and reduce the impact to your patients and your practice’s bottom line.
The rise in Medicare Advantage plans offers practices a way to build not only their patient populations but also their pay-for-performance skills, experts say.
Direct your coding and documentation teams to take the same approach as leading practice denial-management programs to not only improve the way they manage and resolve existing denials but also to correct process deficiencies to prevent new denials.
The growth in Medicare Advantage plans is impressive, but the penetration of those plans into heretofore underserved areas may be even more so, on the evidence of the Kaiser Family Foundation’s recent issue brief “Medicare Advantage 2019 Spotlight: First Look” by Gretchen Jacobson, Anthony Damico and Tricia Neuman.


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