
Risk adjustment audits are changing again, and leaders in charge of risk adjustment services should take note as the imp...
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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 just got real. In 2025, Medicare Advantage (MA) plans are facing the true financial impact of inaccurate or ...
read moreAugust 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...
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