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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.

The Future of Artificial Intelligence in Digi...

Artificial Intelligence (AI) is steadily reshaping digital pathology – but not through sudden disruption or autonomous diagnosis. In the U.S. healthcare environment, AI is evolving as a clinically governed, decision-support technology that enhances diagnostic consistency, operational efficiency, and long-term sustainability for pathology laboratories.

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pathology billing
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Market-based logistics efficiency
October 27, 2025

Accuracy Isn't Enough in Risk Adjustm...

Accuracy gets all the attention in risk adjustment coding, and rightly so. It’s the backbone of compliance, reimbursemen...

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RADV Audits
September 25, 2025

RADV Audits & Risk Adjustment Coding ...

RADV audits just got real. In 2025, Medicare Advantage (MA) plans are facing the true financial impact of inaccurate or ...

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Pathology Billing
August 12, 2025

The Pathologist's RCM Checklist: Are ...

Your pathologists are diagnosing cancer. But your billing team? They’re diagnosing something else entirely: denials, und...

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Risk Adjustment Medical Coding
June 30, 2025

The Vital Role of Risk Adjustment Med...

In today’s value-based healthcare environment, risk adjustment medical coders are essential to the financial health, reg...

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Risk Adjustment Coder
June 24, 2025

Risk Adjustment Coding Update: CMS Ra...

Changes from the Centers for Medicare & Medicaid Services (CMS) have been plentiful in recent months—and now things are ...

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Pediatric Billing
June 20, 2025

AAP Releases 2025 Pediatric Billing G...

A healthy patient financial experience is critical for pediatric providers. Errors in pediatric billing, coding or docum...

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Risk Adjustment
June 17, 2025

Elevate Your Reimbursement Strategy ...

Prospective risk adjustment is rapidly becoming essential for healthcare providers navigating the Centers for Medicare &...

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Risk Adjustment Coding
June 10, 2025

HCC Risk Adjustment in 2025: Advanced...

HCC risk adjustment in 2025 is more than just a compliance checkbox – it’s a strategic driver of revenue and regulatory ...

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Risk Adjustment Medical Coding
June 06, 2025

The 2026 Medicare Advantage Final Rul...

The Centers for Medicare & Medicaid Services' (CMS) CY 2026 Rate Announcement introduces significant updates that direct...

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