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ACA risk adjustment management: Cracking the code22 December 2017 - By Alan Vandagriff and Brandy N. Millen and Jason Petroske and Lisa L. Mattie - Article

This paper addresses strategies to facilitate an organizational coding completeness initiative and “crack the code” on the tools and methods for increasing risk adjustment management’s success.

Controlling healthcare costs the old, new way01 July 2010 - By Lisa L. Mattie - Article
Has provider risk sharing finally come of age? Recent advances may spell success for this cost-control strategy.The unfulfilled cost-control promise of provider risk sharing07 June 2010 - By Lisa L. Mattie - Article
This alternative to the fee-for-service system creates an incentive for increased managed care.ICD-10 critical success factors: Session 516 March 2010 - By Eric P. Goetsch and Lisa L. Mattie - Article

This fifth and final session in a five part Milliman webinar series on the 10 critical success factors (CSFs) for successful ICD 10 implementation focuses on CSFs # 9 Planning for the financial impact and #10 Leveraging for strategic opportunities..

ICD-10 critical success factors: Session 409 February 2010 - By Kathy Zaharias and Pat Zenner and Lisa L. Mattie - Article

To successfully implement ICD 10, whether just the General Equivalency Mappings (GEMS) or commercially available tools, effective use is essential. This fourth webinar of Milliman's five part series continues the discussion of the 10 critical factors (CSFs) for successful ICD

Ten critical factors for health plan success in implementing ICD-1001 October 2009 - By Kathy Zaharias and Patricia A. Zenner and Lisa L. Mattie - Article
Lessons from the recovery audit contractor demonstration project01 April 2009 - By Kathy Zaharias and Lisa L. Mattie and Patricia A. Zenner - Article
The impact of ICD-10 on clinical operations01 November 2008 - By Kathy Zaharias and Lisa L. Mattie and Patricia A. Zenner - Article
Recovery audit contractor (RAC) basics01 November 2008 - By Kathy Zaharias and Lisa L. Mattie and Patricia A. Zenner - Article
Strategies for ICD-10 take proactive approach01 June 2008 - By Eric P. Goetsch and Lisa L. Mattie and Patricia A. Zenner - Article

Most healthcare players agree that ICD-10 implementation will be expensive and resource-intensive. That said, there are still opportunities that afford proactive organizations the chance to become industry leaders under the new system. Implementation will reverberate beyond the core payer and provider community


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