Claims data, which form the foundation of risk adjustment in payment for health care services, may reflect efforts to capture more—or more severe—clinical conditions rather than true changes in health ...
The growth of the Medicare Advantage (MA) program to over half of eligible Medicare beneficiaries has made MA payment a salient part of Medicare policy discussions. Those discussions often focus on ...
The new CPT code reflects the latest efficacious medical care available to patients, facilitating adoption and utilization. The assignment of a Category I CPT® code demonstrates a strong message to ...
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