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CMS TEAM model orthopedic billing services 2026
July 01, 2026

What TEAM Means for Orthopedic Billing S...

The CMS Transforming Episode Accountability Model (TEAM) is in play, and its impact on orthopedic billing services will ...

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

Prospective, Concurrent, and Retrospecti...

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

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HCC risk adjustment coding defensible Medicare Advantage RADV
June 12, 2026

The New Era of HCC Risk Adjustment: Why ...

For years, many Medicare Advantage organizations treated HCC risk adjustment as a volume exercise: capture more diagnose...

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Risk Adjustment Essentials

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Leadership in Action

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Medical Billing

Hemant Apte - Chief Executive Officer

Value-Based Care Initiatives Live and Di...

Value-based care is increasing in complexity at a level the...

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AI Won’t Replace Your Coders

Hemant Apte - Chief Executive Officer

AI Won't Replace Your Coders…Here's Why ...

Physicians have expressed concern over payers using artific...

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Hemant Apte - Chief Executive Officer

Highlights of the 2024 Physician Fee Sch...

After years of announcements and speculation, 2024 is shapi...

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Meet RiskGen-i: The Future of Risk Adjustment is Here

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