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Insights That Move Healthcare

Expert perspectives on revenue cycle, risk adjustment, compliance, and healthcare strategy – designed to help providers, plans, and leaders make smarter operational and financial decisions.

How Will the CMS TEAM Model Impact Home Healt...

Late last year, CMS introduced the Transforming Episode Accountability Model (TEAM). It addresses five surgical categories with the intent of improving the quality of care and reducing expenditures. This model directly impacts home health billing from multiple angles.

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TEAM Model
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Solutions:
Market-based logistics efficiency
October 27, 2025

Accuracy Isn't Enough in Risk Adjustm...

Accuracy gets all the attention in risk adjustment coding, and rightly so. It’s the backbone of compliance, reimbursemen...

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Risk Adjustment Medical Coding
June 30, 2025

The Vital Role of Risk Adjustment Med...

In today’s value-based healthcare environment, risk adjustment medical coders are essential to the financial health, reg...

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Risk Adjustment
June 17, 2025

Elevate Your Reimbursement Strategy ...

Prospective risk adjustment is rapidly becoming essential for healthcare providers navigating the Centers for Medicare &...

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Risk Adjustment Coding
June 10, 2025

HCC Risk Adjustment in 2025: Advanced...

HCC risk adjustment in 2025 is more than just a compliance checkbox – it’s a strategic driver of revenue and regulatory ...

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Accurate HCC Risk Adjustment
May 16, 2025

How Accurate HCC Risk Adjustment Can ...

As the healthcare industry continues to shift toward value-based care, precise Hierarchical Condition Category (HCC) ris...

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Physician's Guide to Financial Success
April 17, 2025

Mastering Payor Contracting: A Physic...

Physician practices face mounting financial pressures from rising operational costs, increasing claim denials, and compl...

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DME Billing
December 12, 2024

Urinary Catheter Fraud Is Impacting A...

If your billing department handles durable medical equipment (DME), you should stay tuned in to the actions of the Cente...

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HCC Risk Adjustment Coding
September 09, 2024

Intro to HCC Risk Adjustment Coding...

Understanding Hierarchical Condition Category (HCC) coding should be a priority for any revenue cycle leader. This is be...

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Market-based logistics efficiency
March 05, 2024

Risk Adjustment Reviews are Your Key ...

Retrospective reviews of risk adjustment coding are foundational to the financial health and stability of Accountable Ca...

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