MA Plans Can Use Diagnoses From Telehealth Visits In Risk Adjustment

By Michelle M. Stein / April 10, 2020 at 6:44 PM
CMS on Friday (April 10) said it will allow diagnoses from telehealth encounters to count toward Medicare Advantage plans’ risk scores -- a move plans and telehealth providers have pushed for during the COVID-19 pandemic. “The 2019 Coronavirus Disease (COVID-19) pandemic has resulted in an urgency to expand the use of virtual care to reduce the risk of spreading the virus; CMS is stating that Medicare Advantage (MA) organizations and other organizations that submit diagnoses for risk adjusted payment are...

Not a subscriber? Sign up for 30 days free access to exclusive, detailed reporting on drug pricing reforms, Medicaid policy, FDA news and much more.