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Clinical validation could upend your current risk adjustment policies. The rise of risk adjustment-based managed care programs in the past 15 years within Medicare, Medicaid, and Affordable Care Act (ACA) plans has led to remarkably good news: There has been a significant improvement in the accuracy of the diagnosis codes abstracted from medical documentation among […]
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Accurate billing of these procedures requires attention to detail. Colonoscopy is a medical procedure in which the physician inserts a long, flexible, tubular instrument called a colonoscope into the patient’s anus to examine the lining of the entire colon for abnormalities and disease conditions. This type of test may be performed as a colorectal cancer […]
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