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| Version 6.0 has arrived, making Merlin MRA better than ever. Check out the highlights below and learn more about what Merlin MRA can do for your Medicare Advantage business. | |||
| Merlin Medicare Risk Adjustment 6.0 | |||
Hierarchical Condition CategoryIn an era of accelerating medical costs and flat payments from CMS, accurately reflecting the health status of your members through proper HCC (Hierarchical Condition Category) management is the only way for your Medicare Advantage plan to remain financially viable in the Part D era. The secret to successful long-term risk adjustment for your Medicare Advantage plan is to properly educate your providers as to the value of complete and accurate Hierarchical Condition Category coding of every member, every year. The Medicare risk adjustment payment system uses clinical coding information (Hierarchical Condition Category) to calculate risk premiums for Medicare Managed Care Organizations. Storan HCC Management solutions will help you be proactive in managing your Hierarchical Condition Category performance, working with providers to ensure complete and accurate coding ![]()
Merlin Risk Adjustment is also available in desktop version for retrospective audits. It can work without internet connectivity. It only requires internet connectivity for synchronization with Storan secure data servers in order to retrieve and post retrospective audit data Call us today at 636.477.7701 option 1 to find out how you can implement a HCC Management system in as little as four days or for a live demo of Merlin Risk Adjustment |
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