Reveleer

Presentation: Overpayments - Identifying and Mitigating Risks
In this session we explore how large risk adjusted payments could be increasing health plans RADV exposure.

Recording: RAPS to EDPS Risk Score Reconciliation
Attendees will receive a brief walkthrough of the history of Medicare Advantage Risk Adjustment, learn about common challenges with the EDS transition from RAPS, learn how to reconcile RAPS and EDPS risk scores at the member level and review sample reports

Presentation: RAPS to EDPS Risk Score Reconciliation
Attendees will receive a brief walkthrough of the history of Medicare Advantage Risk Adjustment, learn about common challenges with the EDS transition from RAPS, learn how to reconcile RAPS and EDPS risk scores at the member level and review sample reports.

Presentation: The CMS Journey to EDS: Mitigating the risks inherent to revenue cycle management
Particularly with the recent announcement from CMS that MA payment source is shifting to 25% Encounter Data, data governance best practices are more critical than ever to your overall risk mitigation strategies as it relates to your revenue cycle. In this session, Jim Corbett of Dynamic Healthcare Systems discusses EDS versus RAPS and the ways in which this much more complicated data set, driving plan revenue, requires aggressive risk mitigation from a multi-disciplined team. We focus on the compliance component of this challenge, rather than risk adjustment operations and tactics, and will address issues related to reconciliation, data governance, vendor oversight, quality assurance, and provider education strategies.

Audio: The CMS Journey to EDS: Mitigating the risks inherent to revenue cycle management
Particularly with the recent announcement from CMS that MA payment source is shifting to 25% Encounter Data, data governance best practices are more critical than ever to your overall risk mitigation strategies as it relates to your revenue cycle. In this session, Jim Corbett of Dynamic Healthcare Systems discusses EDS versus RAPS and the ways in which this much more complicated data set, driving plan revenue, requires aggressive risk mitigation from a multi-disciplined team. We focus on the compliance component of this challenge, rather than risk adjustment operations and tactics, and will address issues related to reconciliation, data governance, vendor oversight, quality assurance, and provider education strategies.

Recording: MA risk score impact: EDPS and RAPS
This webinar explores the revenue risks introduced by the CMS requirement to submit both EDPS and RAPS data.

Presentation: MA risk score impact: EDPS and RAPS
This webinar explores the revenue risks introduced by the CMS requirement to submit both EDPS and RAPS data.