What’s New in Risk Adjustment: Insights from RISE 2023

This article was originally published in Healthcare Business News.

Now that CMS has announced their plan for implementing Medicare Advantage rule changes over the next three years, it’s more important than ever to streamline the ways we retrieve and interpret medical records.

The CMS plan includes the removal of more than 2,000 diagnosis codes from the current risk adjustment model, requiring providers to get much more precise with their diagnoses or risk missing out on premiums.

Unfortunately, traditional systems for medical record retrieval, storage, and analysis are not sophisticated enough to adequately meet providers needs under these new rules.

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