Search results

  1. K

    Wiki Risk Adjustment Policies

    Hello, I work for a health plan as a risk adjustment analyst and our RA program is fairly young. I'm looking to bulk up our policies. Is someone able to provide me sample policies, or at least provide me with a basic list of RA policy subjects? Thanks!
  2. K

    Wiki Compliance Committee

    Good morning. I'm in compliance and my boss, the Compliance Officer, wants to refresh the Compliance Committee. The original agenda structure was set up years ago and we find we repeat a lot of information from other commmittee meetings i.e. delegation, SIU, data analysis etc. We have all...
  3. K

    Wiki ADA Compliance and MCO

    I'm looking for anyone that may work for an insurance company and perform site visits, specifically looking at ADA standards and that thresholds are met. My employer needs to create a policy for this and although we know which resources to check for the standards, we are wondering what the...
Top