Clinical data analytics is a process that involves collecting, processing, and analyzing medical data to identify patterns and trends that can improve patient care.
Author: Nam Vu
News: CMS issues updated guidelines
CMS has released updated guidelines on the use of telehealth diagnoses for risk adjustment payment purposes in Medicare Advantage, Cost, PACE, and Demonstration organizations.
CMS wants more encounter data for Medicare
The Centers for Medicare and Medicaid Services (CMS) has proposed changes to the way it calculates payments to Medicare Advantage plans for 2021.
How risk adjustment payment models work today and their challenges
Providers spent decades learning and improving coding practices for CPT codes under fee-for-service payment models because these codes directly impacted payment.