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Is Medical Risk Adjustment (MRA) all about the money? It does come down to it, but the managed-care MRA model is vastly different from the Fee for Service (FFS) model; the reasons that it is about the money are also different. The MRA model creates an interesting and significantly satisfying outcome for those who understand the system’s whys and wherefores. This high-level look at MRA is written from “The School of Hard Knocks”; distilling over twenty years of experience in the managed-care arena, from the ground-realities of caring for Medicare patients while juggling all the compliance issues surrounding the funding for that care.
Compliance, the biggest challenge to a medical practice today, can also be its greatest opportunity. It can be the biggest danger and also the greatest firewall of protection. This book teaches you the how and why of compliance, the ins and outs of what is necessary in setting up and running a compliant practice; something every doctor and administrator of a practice needs to know to minimize risk and succeed. In this case, ignorance is NOT bliss, and a good offense is much better than having to go into defense mode.