Michael Lutz

Medicare Advantage plans require an increased commitment to improving risk adjustment coding practices while optimizing medical record retrieval and interoperability. But health plans don’t have to handle these challenges alone! Watch our on-demand RISE webinar, where Cotiviti’s risk adjustment experts unravel trends shaping 2024 and beyond. https://bit.ly/49HsK7m #RiskAdjustment #HealthPlans

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Risk adjustment continues to grow more complex, especially for Medicare Advantage plans. Our recent RISE webinar shared best practices to improve coding quality and fresh ideas for building a successful digital data strategy. Watch it on-demand for insights on: ▫️ Improving risk adjustment coding accuracy ▫️ Meeting providers where they are ▫️ Advancing interoperability to drive impact https://bit.ly/49HsK7m #Medicare #RiskAdjustment #interoperability

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The growth of the health insurance marketplace is picking up steam, fuelled by Medicaid disenrollment. https://ow.ly/N1vW50Tafsq MMIT’s Erin Trompeter explains what these large-scale changes mean for providers, manufacturers, payers and health IT vendors. Get the insights by clicking the link in this post. #HealthInsuranceMarketplace #HealthInsurance #Medicaid

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In case you missed it, CMS rolled out significant updates this July that every health plan administrator should be aware of. From the evolving Medicare Prescription Payment Plan (M3P) to new guidance on Parts C & D Enrollee Grievances and Organization Determinations, staying compliant has never been more critical. Get a detailed breakdown of what these changes mean for your plan in our latest blog, featuring insights from Kelly Thao, our Sr. Compliance Analyst. Dive into the blog here ➡️ https://ow.ly/GfAk50TG8SG #MedicareCompliance #HealthcareCompliance #HealthPlans #MedicareUpdates #HealthAxis #CMS #ClaimsProcessing #ClaimsManagement #Medicare #MedicareAdvantage #Prescriptions #AppealsAndGrievances #Consulting #CAPS #Determinations #HealthIT #HealthcareTechnology

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Are you missing out on Medicare Advantage funding? While most healthcare providers understand the basics of CMS-HCC risk adjustment, a lack of deep knowledge often leads to sub-optimal reimbursements. This will only get more challenging as the V28 model comes into full force in 2025, which is why we created a comprehensive blog to explain: ➡️ How CMS-HCC risk adjustment is done ➡️ How V28 could change your reimbursements ➡️ What you can do to ensure it doesn’t harm your funding Read it in just 3 minutes today 👇 https://hubs.ly/Q02TKp_g0

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A Medicare Set-Aside (MSA) Allocation Report is one of the first steps taken to consider Medicare’s future interest. We have an outstanding record for providing accurate and timely MSA allocations that allow the settling parties to confidently proceed forward with their settlement. Our expert team ensures precise MSA projections meeting Centers for Medicare and Medicaid Services (CMS) standards, avoiding overinflation and ensuring approval. For more information visit our website below. https://lnkd.in/eQzENSAw #MDData #MedicareSetAside #Medicare #MSA

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