
For years, many Medicare Advantage organizations treated HCC risk adjustment as a volume exercise: capture more diagnose...
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Most healthcare organizations don't decide to outsource medical billing because of a single crisis. The decision builds ...
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On June 1, 2026, the HHS Office of Inspector General published one of the most significant Medicare HCC risk adjustment ...
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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...
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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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