Differential coding by Medicare Advantage plans appeared to have pushed their risk scores higher than traditional Medicare's scores. Those greater risk scores led to $33 billion in extra revenue for ...
Differential coding in MA plans results in higher risk scores and increased payments compared to TM, with significant insurer variation. UnitedHealth Group's risk scores were significantly higher than ...
Coding has become a critical skill for many jobs. Some countries and schools are even considering coding languages to be an acceptable form of a foreign language. In the midst of all this, the nature ...
Claims data, which form the foundation of risk adjustment in payment for health care services, may reflect efforts to capture more—or more severe—clinical conditions rather than true changes in health ...
Coding bootcamps may have a financial incentive to overstate their effectiveness. Learning to code can still be life-changing for some so we spoke to insiders about how to find the best bootcamps.