Close Close

Life Health > Running Your Business

System Helps With Medicare Patient Risk Scores

Your article was successfully shared with the contacts you provided.

A software company has developed a system that can automate the process of determining how sick Medicare Advantage plan patients really are.

Infocrossing Inc., Leonia, N.J. says its new RA-Expert system can help carriers in the Medicare Advantage private Medicare plan market come up with “hierarchical condition category” risk scores.

Providing complete, accurate HCC data is important to making sure a plan gets the right amount of claim reimbursement from the Centers for Medicare & Medicaid Services, Infocrossing says.