Risk Adjustment Compliance

The program is looking at any providers that have been barred from practice with Medicare and Medicaid, but have still been submitting claims by tricking the system.

February 22, 2014

  • compliance
  • Sunrise over downtown Los Angeles
  • compliance

The project team worked on identifying fraudulent providers and making sure that a system was created where claims were not processed and the government was not invoiced for Risk Adjustment by  our client, as a participant in Medicare and Medicaid.

Comments are closed.