MedAssurant Case Study: Impact of RAD V, Strategic Priorities


Click here to download now

Date: January 2009
Type: Case Study
Rating: (0)

Overview: CMS has signaled plans to materially expand the scope and potential financial implications of risk adjustment audit processes. This report claims we have entered into a new era of heightened focus on practitioner coding accuracy, quality controls on risk-adjusted data submissions, and preparedness for response to regulatory audits within Medicare Advantage and Managed Medicaid health plans. MedAssurant has been assisting clients to prepare for RADV audits, and has gained important insight from that experience. This case study considers the things that health plans can do to prepare for, and maximize the likelihood of a good outcome from, a RADV audit.

Not what you're looking for? Search again
Go Advanced »
More From the Data Mining Section

View All Categories

Business Intelligence : Analytics, Business Process Management, Content management, Dashboards, Data Mining, Data Quality, Databases, Datamarts/Data Warehouses, Information Management, Knowledge Management, Performance Management

Development : Architecture & Design, C/C++, Database, Development Tools, Embedded Systems, High Performance Computing, Java, Mobility, Security, Web Development, Windows/.NET, Open Source

Government : Cloud/SaaS, Enterprise Applications, Enterprise Architecture, Federal, Information Management, Leadership, Mobile & Wireless, Policy & Regulation, Security, State & Local

Hardware : Blades, Data centers, Desktops/PCs, Grid/Cluster Computing, Handhelds/PDAs, Macintosh, Peripherals, Processors, Supercomputers, Unix/Linux servers, Utility/On-demand Computing, Virtualization Hardware, Windows Servers

Healthcare : Policy & Regulation, Leadership, Security & Privacy, Mobile & Wireless, Electronic medical records, Clinical information systems, Administration systems, Interoperability, The Patient

Infrastructure : ATM, Ethernet/Gigabit Ethernet, Frame relay, IPv6, Traffic Management, Network/Systems Management, PBXs, Printers, Remote Access, Routers, Switches, UPS, VPNs, WAN Optimization/Acceleration, Wide Area File Services

Internet : B2B, B2C, Browsers, E-Business/E-Commerce, E-retail, Google, Internet Policy, Internet Security, Search, Social Networks, Traffic Reporting/Monitoring, Web 2.0, Web Development, Social Business

Management : Career Development, Executive Insights/Interviews, H-1B, Legal, Outsourcing, Personnel Management, Recruiting, Regulation/Compliance, ROI/TCO, Salary/Compensation, Small-Medium Business, Training, Workplace Trends

Mobility : 3G Wireless/Broadband, 802.11x, Fixed Mobile Convergence, Mobile Business, Mobile Messaging, Muni Wireless, RFID, Smartphones, Wi-Fi VOIP, Wi-Fi/WiMax, Wireless Security, WLAN

Personal Tech : Blackberry, Bluetooth, Bluray, Digital Cameras, Digital Music, Digital Rights Management, Global Positioning Systems, iPhone, iPod, Peripherals, Smartphones, TVs/Home Theater, Virtual worlds

Security : Antivirus, Application Security, Attacks/Breaches, Cyberterror, Encryption, End user/Client Security, Intrusion Prevention, NAC, Perimeter Security, Privacy, Security Administration, Storage Security, Vulnerabilities and Threats

Services : Business Process Outsourcing, Business Services, Disaster Recovery, Hosted Applications, Hosted Storage, Internet/Data Services, Outsourcing, Software as a Service, Systems Integration, Telecom/Voice Services

Software : Integration, Application Optimization, Business Systems Management, CRM, Database Applications, Databases, Development Tools, ERP, Hosted Software/Applications, Linux, Open Source, Operating Systems, Productivity Applications, Server Virtualization, Service Oriented Architecture, Web Services

Storage : Data protection, Disaster Recovery, Removable/Portable Storage, Security, Storage Fabrics, Storage Systems, Virtualization

Telecom : VOIP, Unified Communications, Voice services, PBXs, Call Centers, Presence, Collaboration Systems, Business, Regulation, Internet policy

Windows/Microsoft : Applications, Internet Explorer, Microsoft Company News, Office Suite, Open Source, Operating system, Security