OIG finally set the terms for RA vendor governance. What does it mean for Your Program?

OIG finally set the terms for RA vendor governance. What does it mean for Your Program?

Most health plans govern their risk adjustment coding vendor the same way they always have. The contract is signed, charts move, and codes come back. Whether anyone inside the plan has genuine visibility into what the vendor is actually doing, and whether those practices would survive regulatory scrutiny, is a question most plans have never […]