Healthcare Blogs | 3Gen Consulting Insights
Logo

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.

Prospective, Concurrent, and Retrospective Ri...

Risk adjustment is often discussed as a Medicare Advantage problem. In actuality, it affects every organization whose reimbursement, shared savings, or quality performance depends on accurately reflecting the complexity of their patient population.

Read Blog Post Read Blog Post
prospective concurrent retrospective risk adjustment 2026 guide MA plans ACOs
providers:
Specialities:
Solutions:
physician coding mistakes payer denials medical billing 2026
June 19, 2026

Top 7 Physician Coding Mistakes Trigg...

Why is physician coding creating more revenue risk in 2026? Physician coding is no longer just a compliance function sit...

read more
home health billing services audit compliance
June 17, 2026

Why Home Health Billing Services Are ...

On May 13, 2026, the Centers for Medicare and Medicaid Services imposed an unprecedented nationwide six-month moratorium...

read more
HCC risk adjustment coding defensible Medicare Advantage RADV
June 12, 2026

The New Era of HCC Risk Adjustment: W...

For years, many Medicare Advantage organizations treated HCC risk adjustment as a volume exercise: capture more diagnose...

read more
denial prevention vs denial management healthcare revenue cycle
June 08, 2026

Denial Prevention vs. Denial Manageme...

In 2025, U.S. hospitals spent $18 billion overturning claims denials. Not losing those claims. Not writing them off. Ov...

read more
OIG Medicare Advantage HCC risk adjustment coding audit 2026
June 07, 2026

OIG Flags $462 Million in Medicare Ad...

On June 1, 2026, the HHS Office of Inspector General published one of the most significant Medicare HCC risk adjustment ...

read more
HCC risk adjustment Medicare Advantage RAF optimization 2026
June 03, 2026

RiskGen-i & Risk Adjustment in 2026: ...

In 2026, Medicare Advantage risk adjustment is no longer just a coding exercise. It has become a high-stakes operational...

read more
PAMA reporting 2026 clinical lab billing services laboratory revenue cycle
June 01, 2026

What PAMA Reporting Means for Clinica...

The PAMA reporting window for clinical laboratories is open right now – May 1 through July 31, 2026. What applicable lab...

read more
medical billing
May 24, 2026

RPM Billing in 2026: A Day in RPM Ser...

Remote Patient Monitoring (RPM) billing sounds like one of those healthcare ideas that should be simple: Patients stay h...

read more
medical coding audit
May 22, 2026

Why Your 99214 Keeps Becoming a 99213...

You’re leaving $25-$40 per visit on the table every time a legitimate 99214 gets downcoded to 99213. Not because someone...

read more
Load moreLoad more

Explore our strategic insights & resources

Pathology Revenue Health Check
E-Guideread more
prospective concurrent retrospective risk adjustment 2026 guide MA plans ACOs
Blogread more
alt Thumb edit
Infographicread more
View All ResourcesView All Resources
let's
talk