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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.

Two Settlements. $674 Million. What the 2026 ...

For most of the past decade, Medicare Advantage risk adjustment compliance was understood primarily through the lens of RADV audits – CMS's program for reviewing a sample of submitted diagnosis codes against the underlying medical records. A RADV finding could result in recoupment, adjustments, and operational scrutiny. Significant, but manageable.

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RADV audits Medicare risk adjustment 2026 FCA settlements Kaiser Aetna OIG enforcement risk adjustment
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Home Health Billing Service
May 14, 2026

How Home Health Billing Denial Preven...

The home health revenue cycle has officially entered its “Prove It” era. For years, many home health agencies approache...

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Hospice Revenue Cycle Management
August 08, 2025

The HOPE Assessment Tool is Replacing...

The Centers for Medicare and Medicaid Services (CMS) has released a significant number of changes and updates in recent ...

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Market-based logistics efficiency
January 10, 2020

Is Your Home Health and Hospice Billi...

Billing and coding for home health and hospice is only becoming more complicated. As we move forward into a new year wit...

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August 01, 2019

5 Tips to Outsource Home Health Billi...

If you want to outsource home health billing and coding, now is a great time. Not only can outsourcing provide you with ...

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