Modern Healthcare January 31, 2020
Ilene MacDonald, Editorial Director, RISE

Expect the Centers for Medicare & Medicaid Services (CMS) to take a closer look at retrospective chart reviews this year, says Jason Christ, a member of the health care and life sciences practice of Epstein Becker & Green.

Christ, one of the panelists scheduled to speak at the upcoming RISE Nashville session on hot 2020 legal and compliance issues for risk adjustment organizations, has been tracking the latest enforcement actions and announcements from CMS, the Office of Inspector General (OIG), the Department of Justice (DOJ), and qui tam bar to determine the likely risk areas the government will focus on this year.

Here are six issues that he says risk adjustment organizations should pay attention to in 2020:

Retrospective...

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Topics: CMS, Govt Agencies, Health System / Hospital, Insurance, Medicare Advantage, Payer, Physician, Provider
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