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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.

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.

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prospective concurrent retrospective risk adjustment 2026 guide MA plans ACOs
providers:
Specialities:
Solutions:
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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Market-based logistics efficiency
September 19, 2023

Home Health Billing Fraud Study Sheds...

Providers who outsource home health billing see multiple benefits, but one of the most important is access to a tool in ...

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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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Risk Adjustment Coding Strategy
June 15, 2021

Home Health Billing Impact: Home Infu...

Medical billing has seen multiple changes because of the COVID-19 pandemic. We’ve covered the Hospital at Home and its p...

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