MA insurers are auditing patient's medical charts to find more diagnosis codes in effort to get larger reimbursements from the Medicare program. The business of insurance encourages the documentation of all possible diagnoses to generate billions in profits. Modern Healthcare cites an Anthem lawsuit as an example of the returns...National News
A sudden reversal of the Trump administration's decision to suspend risk adjustment payments just three weeks ago means the program paying billions to insurers in order to stabilize health insurance markets is back.
On Tuesday night, the Centers for Medicare & Medicaid Services (CMS) released a final rule that gave the...National News
Centers for Medicare & Medicaid Services (CMS) administrator Seema Verma received a letter signed and supported by 28 medical organizations calling for CMS to re-evaluate and consider other options to deal with the decision to suspend risk-adjustment payments.
In the letter sent to Verma, the organizations pointed out the...