Sunday, November 22, 2009

Free Offer from Veracity Data Systems

With the January 31st, 2010 final deadline looming for submission of 2008 encounter data, Veracity Data Systems is offering a free year over year analysis of your 2008 and 2007 HCCs. Provide us with a recent MMR, a final 2007 Model Output data file, and a Model Output data file from the second half of 2009, and we'll provide you a listing of missing HCCs and the financial impact those HCCs would have on your bottom line if they were submitted. This report will help you start to identify and target your efforts for revenue enhancement. For complete information about this offering, use this link.

Friday, November 20, 2009

MA Coding Intensity

Medicare Advantage Plans will be subject to a Coding Intensity Adjustment in 2010. This adjustment will decrease risk scores of all members by 3.41%. This adjustment is in addition to the normalization factor that is applied to risk scores, which will be set at 1.041 for aged and disabled members. This new adjustment is designed to reflect the differences between FFS and MA risk scores due to more intense coding of MA members.

For more information about these adjustments, see the CMS Advance Notice and Final Notice for 2010.

CMS Advance Notice 2010

CMS 2010 Announcement