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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.

Understanding the Impact of the CMS-HCC Phase...

Risk adjustment services for Medicare Advantage organizations are now operating in a materially different environment. The three-year phase-in of the 2024 CMS-HCC (V28) risk adjustment model is complete – meaning 100% of risk scores for non-PACE Medicare Advantage organizations are now calculated under the updated model [1].

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CMS Announces Plans
October 23, 2025

CMS Announces Plan to Repeal Nursing ...

The home health revenue cycle has experienced ongoing changes in recent years, and this year is no different. The Center...

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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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Reviewing Recent Updates to Coding Split
March 04, 2025

Reviewing Recent Updates to Coding Sp...

Split or shared visit coding has seen multiple updates over the last year, including new CPT codes, deletions, and revis...

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Market-based logistics efficiency
August 02, 2022

What the Potential Cut to Medicare Ho...

Home health companies will want to pay attention to recent news coming from the White House. This is because it can impa...

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Market-based logistics efficiency
March 15, 2022

5 Signs it's Time to Consider Working...

Home health billing is getting more complex every day. This complexity not only puts a strain on existing staff, it also...

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Market-based logistics efficiency
August 24, 2021

Will The “Choose Home Care Bill” Chan...

The “Choose Home Care Bill” is positioned to change home health billing. This is because it’s the latest in legislation ...

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Market-based logistics efficiency
December 08, 2020

CMS Updates for Billing and Coding: Q...

We’re coming into the end of the year, which means now is a great time for healthcare leaders and medical billing and co...

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