La Ste-Famille MRA Auditing,LLC

02/14/2025

**"We provide expert medical chart reviews to enhance documentation accuracy, optimize risk adjustment coding, and ensure compliance—helping healthcare organizations improve reimbursement, reduce errors, and achieve better patient outcomes with confidence.

Find out how we can help—request an estimate via a 30-minute Zoom call."**

We provide expert medical chart reviews to enhance documentation accuracy, optimize Risk Adjustment coding, and ensure Compliance-- helping healthcare organizations reduce documentation & coding errors, and achieve better patient outcomes. Request an estimate via a 30-minute Zoom call now.

02/08/2025

https://www.medscape.com/viewarticle/docs-turn-archivesas-federal-health-information-vanishes-2025a100033p

As federal health websites and databases are taken offline under Trump administration orders, physicians turn to archived and alternative sources for information. Here are useful resources.

01/07/2025

CMS announced that the following states have been selected to participate in the Transforming Maternal Health (TMaH) Model:

Alabama

Arkansas

California

District of Columbia

Illinois

Kansas

Louisiana

Maine

Minnesota

Mississippi

New Jersey

Oklahoma

South Carolina

West Virginia

Wisconsin

Here is the link for more details

Model OverviewTMaH is the newest CMS model designed to focus exclusively on improving maternal health care for people enrolled in Medicaid and Children's Health Insurance Program (CHIP). The model will support participating state Medicaid agencies (SMAs) in the development of a whole-person approach...

12/28/2024

Nearly 200 cybersecurity weaknesses were identified in eight HHS operating divisions by the HHS-OIG, which offered actionable advice to help the department address these vulnerabilities.

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12/27/2024

🎁 The Perfect End-of-Year Gift for Healthcare Professionals! 🎁

Looking for a meaningful gift for the healthcare heroes in your life? 📘 "A Few Minutes to Improve Risk Documentation Accuracy" is the ultimate guide for:

✅ Physicians
✅ Nurse Practitioners
✅ Physician Assistants
✅ Risk Adjustment Coders & Auditors

This practical, insightful book is designed to help improve documentation accuracy and make a lasting impact on patient care. Whether they’re new to the field or experienced pros, this is the gift that keeps on giving!

📚 Get your copy now: https://www.amazon.com/minutes-documentation-Accuracy-MEDICARE-ADJUSTMENT/dp/B0C9S9CJ6J

✨ Wrap up the year with the gift of knowledge and professional growth!

12/27/2024

Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Triple-S Advantage, Inc., (Contract H5774) Submitted to CMS

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12/27/2024

Special Fraud Alert: Suspect Payments in Marketing Arrangements Related to Medicare Advantage and Providers

11/02/2024

Questionable Use of Health Risk Assessments Continues To Drive Up Payments to Plans by Billions

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09/28/2024

Prepare for the upcoming shifts in healthcare coding with the 2025 ICD-10-CM guideline changes. This article unpacks the most critical updates. Whether you're a healthcare provider or a coding professional, this guide will help you understand how these updates impact documentation, reimbursement, and compliance. Stay ahead of the curve and ensure your practice is prepared for the changes in 2025.

Prepare for the upcoming shifts in healthcare coding with the 2025 ICD-10-CM guideline changes. This article unpacks the most critical ...

07/25/2024

I’m excited to offer a free audiobook that dives deep into the intricacies of Medicare risk adjustment. This comprehensive guide is perfect for healthcare professionals, auditors, coders, and anyone interested in mastering the essential documentation skills needed for effective risk adjustment.
This audiobook provides valuable insights and practical tips for those who are just starting out in the field to help you succeed.
Grab your free copy now and take the next step in your professional development!
Don’t miss out on this opportunity to boost your skills and stay ahead in the healthcare industry. Share with your colleagues and spread the knowledge!
https://www.audible.com/author/Yves-Edouard-Baron/B0C8JMG9M4

07/01/2024

With respect to the eight high-risk groups covered by our audit, most of the selected diagnosis codes submitted to CMS for use in CMS’s risk adjustment program did not comply with Federal requirements.

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05/29/2024

It is an invaluable resource for healthcare professionals, coders, auditors, and anyone involved in the Medicare Risk Adjustment process. By bridging the knowledge gap and providing actionable insights, this book equips readers with the tools to enhance risk adjustment documentation accuracy, ensuring quality care and proper reimbursement within the ever-evolving healthcare industry.

A few minutes to improve Risk documentation Accuracy even you know nothing about MEDICARE RISK ADJUSTMENT