Saturday, January 9, 2021

Medicare Risk Adjustment Operations

 


APPROVED by the AAPC for 5 CEUs

Course Overview

Medicare Advantage (MA) is one of the fastest-growing and most complex health plan lines of business representing significant growth opportunities for payers. Launching and/or managing a successful MA market requires careful, strategic planning to meet requirements, ensure compliance, and maximize the program benefits for your organization.

Success in this market will depend on success in each of the following essential areas:

  • Value-based contracting
  • Clinical documentation and coding
  • Delivering high quality care
  • Managing utilization

This course will touch on all four essential areas of MRA Operations.

Learn more or Register here


Review the Agenda below:


Risk Adjustment Operations

  • Medicare Risk Adjustment Overview
  • History of Medicare Risk Adjustment
  • Key Concepts and Terms
  • Risk Adjustment Data
  • Risk Adjustment Process
  • Risk Adjustment Data Validation


CMS-HCC Risk Models

  • PY 2020 CMS HCC Risk Adjustment Model
  • PY 2021 CMS HCC Risk Adjustment Model
  • PY 2022 CMS HCC Risk Adjustment Model


Calculating Risk Scores and Payments

  • General Payment Rules
  • Data Submissions and Payments
  • PY 2020 Risk Score Calculations
  • PY 2020 CMS-HCC Payment Calculation Example
  • PY 2021 Risk Score Calculations
  • PY 2021 CMS-HCC Payment Calculation Example


Optimizing RA Operations

  • Network Adequacy Guidance
  • Medicare Star Ratings
  • Growth and Retention
  • Reports and Resources

Visit www.ERM365.org to see more courses. 



3 comments:

  1. Truly herbs have proven to be the best remedy for herpes and i want to share this to the entire public on how Dr Kham cure me from herpes 1&2 with his herbs, I never believe it will work because the doctors keep saying there is no cure but i was desperate and needed to get this thing out of my body. I saw a comment online testifying how Dr. Kham cures her from herpes and hpv and I contacted Dr. Kham explains my problem to him and he prepares the cure and sends it to me through UPS, Which i use just the way He instructed me and thank God today I am a beneficiary of this cure. I went to my doctor for checkup after Two weeks of taking the herbs and I was tested Herpes 1&2 Negative and my doctor told me that the virus is completely gone from my system and he was very shock also and ask for his contact then i gave it to him and he also contacted him in need of other patients. So I will tell you all who are looking for a cure to his/her Herpes Virus, I will advise you to do a very good research about herbalist Dr. Kham and see more about his good work and a lot of people are benefiting from him right now. He also cured my Uncle and his wife from HPV. Dr Kham heals with natural herbs. Please I urge you to contact him now through his email address: dr.khamcaregiver@gmail.com or WhatsApp him on +2348159922297. You can as well reach him on his Website: https://dr-kham-herbal-home.webnode.com/

    ReplyDelete
  2. I am so Happy to be writing this article here, i am here to explore a blog forum about the wonderful and most safe cure for HERPES SIMPLEX VIRUS . I was positive about the deadly Virus called HERPES and I lost hope completely because I was rejected even by my closest friends. I searched online to know and inquire about a cure for HERPES and I saw Dr.USELU testimony online on how he cured so many people from Herpes Disease so I decided to contact the great herbalist because I know that nature has the power to heal everything. I contacted him to know how he can help me and he told me never to worry that he will help me with the natural herbs from God! After 2 days of contacting him, he told me that the cure has been ready and he sent it to me via FEDEX or DHL and it got to me after 4 days! I used the medicine as he instructed me (MORNING and EVENING) and I was cured! it's really like a dream but i’m so happy! That's the reason I decided to also add more comments of Him so that more people can be saved just like me! and if you need his help,contact his Email:(dr.uelucaregvier@gmil.com) you can contact him on WHTASAPP +2347052898482 He said have the herb to cure different cures for any sickness  https://druseluherbalhome.simdif.com/
    (1) HERPES,
    (2) DIABETES,
    (3) HIV AIDS,
    (4) URINARY TRACT INFECTION,
    (5) HEPATITIS B,
    (6) IMPOTENCE,
    (7) BARENESS/INFERTILITY
    (8) DIARRHEA
    (9) ASTHMA… AND MORE

    ReplyDelete
  3. I want to appreciate the great work of Dr USELU, i have been diagnosed of HIV virus for 3 years, i have lose all hope that there is a cure and i have been taking medicine to sustain myself not until i got to know about Dr USELU, i contacted him and he sent me his herbal medicine which i took as prescribed by him for some days and i went to the hospital after finishing the herbal medicine. To my greatest surprise i was confirmed HIV Negative after years of being positive, it is indeed a miracle.You can contact him for help. he can also cure the following (1) BRAIN TUMOR (2) LUPUS (3) CANCER (4) HSV-1 (5) HPV (6) HERPES (7) PAD (8) DIABETES etc. his whatsapp number +2347052898482 email: dr.uselucaregiver@gmail.com is website: https://druseluherbalhome.simdif.com/

    ReplyDelete