Navigating Risk Adjustment Challenges: Federal Initiatives and Operational Strategies for Healthcare Sustainability
Federally sponsored healthcare programs, such as Medicare Advantage and Medicaid, are designed to provide affordable and accessible healthcare to millions of individuals. However, an alarming trend has emerged within these programs: the rising risk of overpayments due to medical “upcoding” and “suspecting.”
In this comprehensive 25-page e-book, explore an analysis and forecast by ZeOmega’s experts in risk adjustment solutions, focusing on regulatory changes and offering guidance on ensuring accurate risk payments in both business and clinical operations.