
HCC risk adjustment became the center of a $14.1 million Department of Justice settlement on August 3, 2026, when Comple...
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For most of the past decade, Medicare Advantage risk adjustment compliance was understood primarily through the lens of ...
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Orthopedic billing services are the specialized revenue cycle functions that manage claim submission, coding accuracy, p...
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August 15, 2025
Hemant Apte - Chief Executive Officer
AI Won't Replace Your Coders…Here's Why ...
Physicians have expressed concern over payers using artific...
read moreJuly 10, 2025
Hemant Apte - Chief Executive Officer
AI Denials Are Rising. It's Time to Reth...
AI denials are bad news for providers. A full 61% of...
read moreApril 28, 2025
Hemant Apte - Chief Executive Officer
Risk Adjustment Coding Needs Innovation ...
After releasing new HCC coding guidelines, CMS has publishe...
read moreNovember 19, 2024
Hemant Apte - Chief Executive Officer
Should Home Health Companies Start Dropp...
Healthcare providers are dropping major insurers—and home h...
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