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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.

Risk Adjustment Solutions for 2027: Moving fr...

Risk adjustment solutions for Medicare Advantage organizations are entering 2027 under a confirmed payment environment and a set of operational changes that require adaptation before January 1. CMS's April 2026 Rate Announcement projects MA payments to increase by 2.48% – over $13 billion – in CY 2027, while CMS expects MA risk scores to increase by 2.50% on average due to underlying coding trends [1]

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risk adjustment companies risk adjustment audits unlinked CRR exclusion 2027 chart review services
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Anesthesia Billing Services
July 22, 2025

2025 CPT Code Updates for Anesthesia ...

Anesthesia billing is increasing in complexity, and healthcare revenue cycle leaders should be ready to make adjustments...

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Physician Billing Service
August 12, 2024

How the No Surprises Act Has Impacted...

The No Surprises Act (NSA) brought with it large amounts of speculation on its impact on physician billing services, and...

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Market-based logistics efficiency
September 12, 2023

Changed Your Service Lines? It's Time...

In the wake of COVID, budget crunches, and labor shortages, many hospitals and health systems have been making the smart...

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