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Insight and opinion on all things VBC.

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Uncategorized

Bolus of Vintage CMS Audits Reveal Millions in MA Overcharges – KHN

Fred Schulte, Kaiser Health News and Holly Hacker Republished with permission November 21, 2022 Newly released federal audits reveal widespread...
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Value-based Care

How Hospitals Can Tackle Surges With Value-Based Care

With the flu season ramping at unprecedented rates, and a new surge of RSV coming when COVID-19 numbers are rising...
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HCC Coding

HCC Codes Most Targeted by DOJ and Strategies to Remain Compliant

Audits are no longer just for large payors, provider groups are feeling the pressure of rising compliance audits, and the...
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HCC Coding Risk Adjustment

What Is HCC Coding?

Back in 2004, CMS introduced HCC coding as a tool to help estimate Medicare costs. Today, HCC coding us used...
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HCC Coding

DOJ Files New Medicare Abuse Lawsuit Against Cigna

DOJ Audits And How DoctusTech Helps   The Department of Justice has filed a new lawsuit against Cigna for overcharging...
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Risk Adjustment

Health Systems Set Sights on Risk-Based Payment in Medicare Advantage

Nearly 60 percent of health systems are looking to move into risk-based Medicare Advantage programmes in the coming year, according...
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