In the complex world of Medicare Advantage (MA) plans, data silos present a significant challenge, particularly when it comes to retrospective coding and meeting meat criteria coding standards. Accurate risk adjustment is crucial for ensuring that healthcare providers receive appropriate reimbursement for managing patients with varying levels of health risk. However, data silos—where patient information is fragmented across different systems and departments—can severely hinder the accuracy and efficiency of risk adjustment processes. This article explores the impact of data silos on Medicare Advantage plans and offers practical strategies for overcoming these challenges to achieve effective risk adjustment. The Reality of…
Author: Laim fren
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