Free Webinar: Optimizing Risk Score Accuracy Without Crossing the Line
Date: November 29, 2022
Time: 1:00 PM EST
Presenter: Richard Lieberman, CEO of Cortex Analytics, Inc.
Overview:
Cortex Analytics presents a free webinar, “Coloring Between the Lines: Optimizing Risk Score Accuracy Without ‘Crossing the Line’.” This webinar will discuss the delicate balance between accurately reflecting illness burdens in risk scores and avoiding legal pitfalls with the DOJ, OIG, and CMS.
Key Discussion Points:
- Current Legal Landscape: The heightened tension between federal regulatory bodies and risk-adjusted health plans.
- Regulation by Litigation: The impact of the Overpayment Rule reinstated by the DC Circuit Court of Appeals in 2021.
- Solutions: Utilizing encounter data to ensure compliance and avoid submitting excess diagnosis codes that could be flagged as fraudulent.
About the Presenter:
Richard Lieberman, CEO of Cortex Analytics, Inc., has 31 years of experience in risk adjustment. He began his career at the Johns Hopkins Bloomberg School of Public Health and has been deeply involved in the development and application of risk adjustment data.
Register Now: Eventbrite Registration Link