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

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