BC Advantage - 2025 Issue 2

Medicare Advantage Plans: Coding Challenges and Best Practices

Understand the existing coding challenges for Medicare Advantage plans and some best practices for ensuring better compliance.   In the ever-evolving medical landscape, Medicare Advantage (MA) plans are becoming increasingly popular. MA plans, offered by private insurers that are approved by Medicare, provide an alternative to conventional Medicare by clustering Parts A and B, and often Part D, as well. This means beneficiaries get comprehensive coverage that goes beyond what traditional Medicare offers.   However, for healthcare providers, MA plans present some unique challenges, especially in the domain of medical coding and relevant documentation. Circumventing these challenges holds the...

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