This article is for providers caring for our Medicare Advantage members
Risk adjustment is a payment methodology used by the Centers for Medicare & Medicaid Services to ensure health plans are reimbursed appropriately for Medicare Advantage members.
We recently added a risk adjustment resource page to Provider Central. Log in and navigate to Quality & Performance>Quality Indicators>Risk Adjustment Documentation & Coding. The page covers:
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We’ve also given you links to two fact sheets: Risk Adjustment and In-home care program with Signify HealthTM.
Send an email to the Risk Adjustment Coding Quality Education Team.
As always, thank you for the care you provide to our members.
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