Medicare Advantage (MA) audits are on the horizon, and with them come increased scrutiny of how diagnoses are documented and reported.
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Tag: CMS
Getting Credit for Complexity: Disease Interactions in HCC Risk Adjustment
To capture disease interactions, document and code all conditions that coexist and affect patient care, treatment, or management.
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Beyond the Office Visit: The Power of Chronic Care Management in Value-Based Care
More than a billing code, Chronic Care Management (CCM) is a powerful tool that supports providers in the shift from volume to value.
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Unlocking Better Prenatal and Postpartum Care with New Medicaid F Codes
Starting July 1, NC Medicaid will implement two new F codes to enhance how providers document and track prenatal and postpartum care.
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The Future of Value-Based Care: Trends to Watch in 2025 and Beyond
Several key developments in value-based care will reshape how we deliver, measure, and sustain quality care.
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Closing the Quality Gap: Osteoporosis Management in Women Who Had a Fracture (OMW)
Osteoporosis prevention and management is vital to the health of beneficiaries and an important part of quality programs STAR Ratings.
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