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MedPAC Votes To Set Up MA Withholds To Improve Encounter Data

By Michelle M. Stein / April 8, 2019 at 4:33 PM
Congress’ Medicare advisers will recommend that lawmakers tell CMS to use a payment withhold to incentivize Medicare Advantage plans to submit accurate, complete encounter data and to run MA provider claims through a contractor to ensure encounter data is handled correctly if enough plans don’t submit the data. Commissioners voted on Thursday (April 4) in favor of the recommendation, which was tweaked from the draft considered last month by the Medicare Payment Advisory Commission to add a program-wide threshold. Commissioner...


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