• Pattern

The RAF Score Growth Pattern That Triggers CMS Investigation (And How To Avoid It)

• 

  IQnewswire / 3 months
• 0
• 6 min read

Your organization’s risk-adjusted factor scores increased 6.2% year-over-year. Leadership is celebrating. Finance is projecting higher revenue. You’re getting kudos for strong risk adjustment performance. Then CMS sends an investigation notice. Your RAF growth pattern triggered algorithmic flags. Now you’re explaining to federal regulators why your population got sicker so fast. Not all RAF growth is […]