Over the past year, there has been a noticeable uptick of claims against Medicare Advantage Organizations centering around what the government states are aggressive initiatives allegedly focused on boosting risk scores.
In reality, this is a story of two sides of the same coin — compliance.
Now is the time for MAOs to review and tighten their risk adjustment processes to strengthen their compliance in an effort to minimize the likelihood of enforcement actions and high-cost lawsuits.
Note: Please turn off your pop-up blocker to access to the white paper.
