Healthcare Blogs | 3Gen Consulting Insights
Logo
Back
CompanyAboutOur Culture
Back
SolutionsRevenue Cycle Management ▸Medical Coding & HIM ▸Risk Adjustment & HEDIS ▸Consulting & Advisory ▸
Back
MarketPayers ▸Providers ▸Specialities ▸
Back
TechnologyMedical Coding Platform ▸Revenue Cycle Platform ▸Risk Adjustment Platform ▸
Back
ResourcesBlogsCase StudiesE-GuidesWhitepapersInfographicsNewslettersPress ReleaseVideosVoice Of Leadership
Back
Revenue Cycle ManagementPatient AccessMedical BillingAccounts ReceivableRevenue Integrity
Back
Medical Coding & HIMMedical CodingAudit & EducationClinical Documentation
Back
Risk Adjustment & HEDISRisk Adjustment CodingHEDIS Abstraction
Back
Consulting & Advisory Provider Enrollment & Credentialing Payer Contract Review & Fee NegotiationsHealthcare Management CounsultingRevenue Cycle AutomationHealthcare Data AnalyticsMACRA ConsultingMedical Writing
Back
PayersAccountable Care OrganizationsMedicare Advantage PlansPACE Programs
Back
ProvidersAmbulatory Surgery CentersClinical LaboratoriesFederally Qualified Health CentersH&H SystemsPhysician GroupsUrgent Care Centers
Back
SpecialitiesAnesthesiologyAutism Spectrum DisorderDurable Medical EquipmentGastroenterologyHome HealthHospiceOrthopedicPathologyPediatricRadiologyRemote Patient MonitoringTelemedicine
Back
CodeGen-i
Back
RevGen-i
Back
RiskGen-CoreRiskGen-i

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.

Most Healthcare Audit Exposure Doesn't Start ...

Most of what gets called a coding problem is not a coding problem. It is a documentation problem that surfaces in the coding function – months after the clinical encounter, long after the physician has moved on, usually right before an audit.

Read Blog Post Read Blog Post
documentation to code integrity medical coding services audit exposure 2026 CMS improper payments U.S. healthcare providers specialty
providers:
Specialities:
Solutions:
RADV audits Medicare risk adjustment 2026 FCA settlements Kaiser Aetna OIG enforcement risk adjustment
August 21, 2026

Two Settlements. $674 Million. What t...

For most of the past decade, Medicare Advantage risk adjustment compliance was understood primarily through the lens of ...

read more
ACO risk adjustment MSSP 2027 CMS proposed rule benchmark ACO REACH risk adjustment solutions revenue cycle
August 01, 2026

What CMS's July 14 Proposed Rule Mean...

CMS's proposed rule arrives against a backdrop of sustained program success and measurable improvements over time....

read more
HCC risk adjustment coding Medicare Advantage
July 07, 2026

Why HCC Risk Adjustment Coding Is a B...

Two things converged in 2026 that make HCC risk adjustment coding a more consequential financial function than it has ev...

read more
prospective concurrent retrospective risk adjustment 2026 guide MA plans ACOs
June 22, 2026

Prospective, Concurrent, and Retrospe...

Risk adjustment is often discussed as a Medicare Advantage problem. In actuality, it affects every organization whose re...

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
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
risk adjustment coding companies
May 05, 2026

Risk Adjustment & HEDIS in 2026: Why ...

In 2026, health plans, Medicare Advantage organizations, and risk adjustment coding companies across the US face growing...

read more
Medical Billing
April 07, 2026

The CRUSH Healthcare Initiative Alrea...

Fraud detection has taken center stage with this administration, and the latest effort is the Comprehensive Regulations ...

read more
Load moreLoad more

Explore our strategic insights & resources

Pathology Revenue Health Check
E-Guideread more
documentation to code integrity medical coding services audit exposure 2026 CMS improper payments U.S. healthcare providers specialty
Blogread more
alt Thumb edit
Infographicread more
View All ResourcesView All Resources
let's
talk