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risk adjustment companies risk adjustment audits unlinked CRR exclusion 2027 chart review services
October 29, 2026

Risk Adjustment Solutions for 2027: Movi...

Risk adjustment solutions for Medicare Advantage organizations are entering 2027 under a confirmed payment environment a...

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October 20, 2026

Understanding the Impact of the CMS-HCC ...

Risk adjustment services for Medicare Advantage organizations are now operating in a materially different environment. T...

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Medicare Advantage accounts receivable and risk adjustment teams reviewing RAF, RADV, and encounter documentation
October 06, 2026

CMS Proposed Changes to 2027 Medicare Ad...

Medicare Advantage (MA) revenue for 2027 is being pushed toward a higher standard of proof, and revenue cycle leaders wi...

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Leadership in Action

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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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AI Denials Are Rising

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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Risk Adjustment Coding Needs Innovation

Hemant Apte - Chief Executive Officer

Risk Adjustment Coding Needs Innovation ...

After releasing new HCC coding guidelines, CMS has publishe...

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Home Health

Hemant Apte - Chief Executive Officer

Should Home Health Companies Start Dropp...

Healthcare providers are dropping major insurers—and home h...

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Risk Adjustment Encounter Integrity
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Risk Adjustment Encounter Integrity

August 2026

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