by Matt Peterson, EVP Client Success and Growth | Feb 12, 2021 | Payers
Hierarchical Condition Categories and How They Affect Reimbursement Hierarchical Condition Category coding — or HCC coding — was implemented by the Centers for Medicare and Medicaid Services (CMS) in 2004 to help estimate the healthcare costs of Medicare enrollees in...
by Matt Peterson, EVP Client Success and Growth | Feb 12, 2021 | Payers
What Is Risk Adjustment? Risk adjustment is an annual process that is used to appropriately compensate health plans for the costs associated with taking on members with chronic health conditions. With risk adjustment, if your health plan serves a higher than average...
by Matt Peterson, EVP Client Success and Growth | Sep 25, 2020 | Payers, Security & Compliance
Additional reconciliation run for CMS PY2020 Risk Adjustment data submission allows more time to close gaps and increase submission accuracy On September 18, 2020, the Department of Health and Human Services Centers for Medicare & Medicaid Services issued the...
by Ciox Health | Sep 10, 2020 | Payers, Press Release, Second Level Review
Innovative service applies AI-powered NLP to uncover adds, deletes & corrections September 10, 2020 – Alpharetta, GA – Ciox Health™, a leading health technology company, has expanded its risk adjustment coding services with Cross Check – a service for advancing...
by Ciox Health | Nov 16, 2018 | HealthSource, Payers, Press Release, Technology
Member-centric data aggregator helps health plans, pharmaceutical companies, government entities, and others obtain actionable data insights ALPHARETTA, GA – November 14, 2018 – Ciox, a leading health technology company, today announces the general availability of...
by Ciox Health | Oct 16, 2018 | Payers, Quality
CMS released the 2019 star ratings for Medicare Advantage health plans, a market that continues with year-over-year steady growth, with increasing health plan options for members, and an expected growth of 2.4 million members by 2019. Based on the CMS data release on...
