Over the past year, there has been a noticeable uptick of claims against Medicare Advantage Organizations for aggressive initiatives allegedly focused on boosting risk scores.
As a result, now is the perfect time for health plans to reevaluate their risk adjustment processes to strengthen their compliance in an effort to minimize the likelihood of enforcement actions and high-cost lawsuits.
On March 25, panelists Lindsay Dosen, Vice President, Legal & Compliance Vatica Health and Mara McDermott, Vice President at McDermott+Consulting, provided an inside look at how risk adjustment programs are being targeted and how to implement effective strategies for reducing compliance risk without compromising risk-adjusted revenue.
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