Tom Martin, M.A., MBA, is vice president, client relations, DRG Claims Management
CMS’s RADV Strategy Will Reverberate Throughout Health Plan Operations
To prepare for CMS’ new risk adjustment data validation (RADV) strategy, Medicare Advantage plans must take a coordinated, organization-wide approach.
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What a Nonpayment Integrity SME Needs to Know About Payment Integrity
Embracing AI Wisely: A Health Plan Leader’s Guide to Benefits, Risks, and Readiness
The authors provide a detailed framework for assessing the adoption of artificial intelligence.