Posts Tagged ‘Medicaid’
Hospital Readmission Reduction Program Audit
Understand the ins and outs of a hospital readmission reduction program audit and the complexities around DRG readmission policies from the FRG experts.
Read MoreData Mining for Multiple Diagnostic Radiology Overpayments
A recent audit of National Medicare Health plan, found over $400,000 in overpayments in a 12-month period for multiple diagnostic radiology claims.
Read MoreMedical Risk Adjustment in Global Capitation Arrangements
Gain the framework needed for understanding medical risk adjustment and the business processes required to perform under a global capitation arrangement.
Read MoreMedicare Risk Adjustment (MRA) Key Dates and Best Practices
Get the facts about Medicare Risk Adjustment (MRA) and the best practices around implementation. Don’t let MRA scare you off, get it right with our help.
Read MoreWhat are Physician Incentive Plans (PIP) and Why Do They Matter?
Gain a high level view of what Physician Incentive Plans (PIP) are and how PIP works in today’s healthcare industry, dominated by Medicare & Medicaid.
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