Evaluating the Impact of Prospective vs. Retrospective Analytics on Risk Score Accuracy and Revenue Integrity

Authors

  • Adya Mishra

Keywords:

Risk adjustment, Medicare Advantage, prospective analytics, retrospective analytics, RAF score, HCC, revenue integrity, value-based care, AI in healthcare.

Abstract

Risk adjustment plays a crucial role in makingsure payments in value-based care programs like Medicare Advantage and the ACA marketplaces f

References

Vandenbroucke, J. P. (1991). Prospective or retrospective: what's in a name?. BMJ: British Medical Journal, 302(6771), 249.

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Published

2024-07-20

How to Cite

Adya Mishra. (2024). Evaluating the Impact of Prospective vs. Retrospective Analytics on Risk Score Accuracy and Revenue Integrity . Journal of Computational Analysis and Applications (JoCAAA), 33(07), 3082–3086. Retrieved from https://www.eudoxuspress.com/index.php/pub/article/view/4274

Issue

Vol. 33 No. 07 (2024): JOCAAA

Section

Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.