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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
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Pediatric Billing and Coding
October 08, 2024

Pediatric Billing and Coding Update f...

Pediatric billing and coding have undergone changes in recent years, and as provider offices head into 2025, it will be ...

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Market-based logistics efficiency
October 23, 2023

The Helping Kids Cope Act Means a Fre...

Finding new opportunities for pediatric billing is critical to maintaining the health of pediatric medical practices, an...

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Market-based logistics efficiency
June 07, 2023

Pediatric Medicine's Struggle with La...

Pediatric medicine supports some of the most vulnerable members of society. This makes shortages in the space even more ...

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Market-based logistics efficiency
January 31, 2023

Tips for Pediatric Billing and Coding...

As 2023 kicks off, now is a great time for pediatric revenue cycle leaders to take a step back and review ways they can ...

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