MA Plans Can Use Diagnoses From Telehealth Visits In Risk Adjustment

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...