In my previous blog, “Demystifying Medicare Risk Adjustment,” I introduced the model that the Centers for Medicare and Medicaid Services (CMS) uses to predict future Medicare Advantage health expenditures—the CMS-HCC […]
How to combine reliable data and performance management for a successful value-based healthcare system.
After attending an AAPC presentation last year, I published a blog about HCC coding. Since then, I have continued to dive into the world of HCCs. To follow up on […]
Risk adjustment is a correction applied in hospital performance measurement to account for the contribution of population characteristics that are beyond the control of the hospital. The effects of these […]
Quality expert Cheryl Manchenton explores ways to reduce readmissions penalties.
Gordon Moore: Welcome to the 3M Inside Angle podcast. This is Gordon Moore, your host, and today I am speaking with Harold D. Miller. He’s the president and CEO of […]
In an era of unprecedented data access, how can you leverage data to benefit your patients and populations?
On December 27, 2017, CMS published Part 1 of this year’s Medicare Advantage (MA) Advance Notice highlighting proposed changes in MA payments for 2019. CMS requires comments on this Part […]
This article details how coders can enhance their careers by becoming proficient in the finer points of the latest payment methodologies.
In this webinar, experts L. Gordon Moore and Erika Johnson discuss using risk adjustment to reveal variation in health care.
Find out how technology can help identify & remove waste so the focus can shift to care quality.
Value-based payment models are attracting attention for risk adjustment methodologies, especially HCC risk adjustment, which is used to calculate cost benchmarks for Medicare Advantage and other CMS payment models including […]