CMS wants to increase the amount of encounter data the agency uses to calculate Medicare Advantage (MA) risk scores from 50% to 75%; final 2021 MA payment rates are expected on or before April 6.
Even as the industry continues to express concern over the reliability of encounter data, The HCC Risk Adjustment Model is now driven by...National News
The agency released Part 1 of the 2020 Advance Notice on Dec. 19; The Centers for Medicare & Medicaid Services (CMS) is proposing to include additional patient conditions when calculating risk adjustment payments for Medicare Advantage (MA) plans.
CMS also proposes to adjust its risk score calculation by boosting the weight of...