Kirk Shanks has worked in Medicare Advantage risk adjustment for roughly twenty years, across payer, advisory and practitioner roles, with an actuarial background.
Payment models, submissions and audits, with every claim cited to the section it came from.
Kirk Shanks has worked in Medicare Advantage risk adjustment for roughly twenty years, across payer, advisory and practitioner roles, with an actuarial background.
KIRSHA’s strategic approach ensures your plan is accurately compensated for member health, maximizing its potential.
KIRSHA uncovers patterns and insights that highlight opportunities for accurate coding and appropriate reimbursement.
KIRSHA’s services drive financial performance, enhance care delivery, and establish a strong foundation for long-term success.
The Centers for Medicare & Medicaid Services (CMS) opened the payment year 2024 Risk Adjustment Data Validation (RADV) audits on August 28 at 590 contracts. CMS scheduled the Enrollee Data List for September 11. Records are due February 5.
The list tells you who was sampled. It doesn't tell you which records to send or what the frame is worth.
Our risk adjustment, financial optimization, and regulatory compliance expertise drives innovative solutions to empower your MAPD plans. Explore how KIRSHA’s proven strategies deliver results, and sustainable growth.