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risk adjustment score

Courts Considering Concept of Inflated ‘Risk Adjustment Scores’ Under the False Claims Act

The Centers for Medicare and Medicaid Services rely on provider-reported ‘risk adjustment scores’ to calculate appropriate reimbursement rates. According to a report published by the Center for Public Integrity, as many as six separate whistleblower lawsuits have been filed since 2010 alleging inflated ‘risk adjustment scores’ submitted to [...]

By | 2018-03-25T14:58:53+00:00 July 20th, 2015|Healthcare Fraud|