Advantmed

CMS Final Notice: A Clinical Perspective

Male doctor with stethoscope on dark background

On March 31st, 2023, The Centers for Medicare & Medicaid Services (CMS) published the Final Rate Announcement for PY 2024. This is an update to the previously published CMS Advance Notice on February 1st, 2023. We’ve put together a recap of these proposed changes below: Risk Adjustment Changes The following provides a high-level overview of… Continue reading CMS Final Notice: A Clinical Perspective

Published
Categorized as Blog

CMS Advance Notice: A Clinical Perspective

The Centers for Medicare & Medicaid Services (CMS) has had a busy 2023 already with a flurry of regulatory activity. We saw the CMS RADV Final rule published on Jan 30, 2023 and the CMS Advance Notice for PY 2024 published on February 1st, 2023. Impact to risk adjustment and quality programs were minimal in… Continue reading CMS Advance Notice: A Clinical Perspective

Published
Categorized as Blog

The RADV Final Rule: What You Need to Know

On January 30th, CMS released its Final Rule regarding the Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) program. You might be wondering how these new RADV rules will impact your MAO. Here are a few points to consider. 1. Many conditions in the Medicare Advantage population continue to be inappropriately coded 2. CMS has… Continue reading The RADV Final Rule: What You Need to Know

Published
Categorized as Blog

Advantmed’s ELEVATE^ Quality Insights ®️ Software Fully Certified for the HEDIS ®️ MY 2022 Season

Irvine, CA – August 10, 2022 – Advantmed, LLC, a healthcare solutions company focused on integrated quality improvement and risk adjustment optimization, announced today that it has received certification from the National Committee for Quality Assurance (NCQA) for all HEDIS® MY 2022 measures. Advantmed’s admin and hybrid measures were certified in July. “We are very… Continue reading Advantmed’s ELEVATE^ Quality Insights ®️ Software Fully Certified for the HEDIS ®️ MY 2022 Season

Optimizing Your Risk Adjustment Program: Top KPIs to Measure Success

“Not everything that can be counted counts, and not everything that counts can be counted” – Albert Einstein. We could not agree with this more, especially when it comes to managing your membership and the risk score of that population. The definition of risk adjustment and its stated purpose is as simple as a process… Continue reading Optimizing Your Risk Adjustment Program: Top KPIs to Measure Success

Published
Categorized as Blog

Advantmed’s ELEVATE! Quality Insights Software Is Fully Certified for the HEDIS MY 2021 Season

Irvine, CA – November 4th, 2021 – Advantmed, LLC, a healthcare solutions company focused on integrated quality improvement and risk adjustment optimization, announced today that it has received certification from the National Committee for Quality Assurance (NCQA) for all HEDIS® MY 2021 measures. Advantmed’s admin and hybrid measures were certified in September. “Certified by NCQA… Continue reading Advantmed’s ELEVATE! Quality Insights Software Is Fully Certified for the HEDIS MY 2021 Season

Advantmed’s ELEVATE! Quality Insights® Software Is Certified for the MY 2021 IHA AMP Measures

Irvine, CA – September 14, 2021 – Advantmed, LLC, a healthcare solutions company focused on integrated quality improvement and risk adjustment optimization, has received certification from the National Committee for Quality Assurance (NCQA) for the Integrated Healthcare Association’s (IHA’s) Align. Measure. Perform. (AMP) measure set. “Our beta test partnership with NCQA for the AMP measure… Continue reading Advantmed’s ELEVATE! Quality Insights® Software Is Certified for the MY 2021 IHA AMP Measures

Maximizing Your Quality Improvement Initiatives with Prospective Data Runs

For quality improvement initiatives, prospective monthly runs can give you better insight and help you stay on top of results.

Published
Categorized as Blog